The ovaries are a very important organ for women, serving as the organ that sustains their lives. Therefore, any condition of the ovaries can have a significant impact on a woman's life and body. And ovarian teratoma is one of the most common diseases of the ovary. Below, let me talk about the symptoms of left ovarian teratoma!
Symptoms of left ovarian teratoma
Many women want to know the symptoms of left ovarian teratoma, let me tell you below!
Mature cystic teratoma mostly occurs in women of childbearing age around 30 years old. The clinical symptoms are non-specific, mainly manifested as pelvic masses. 25% of patients are accidentally discovered, and 10% of patients may experience acute abdominal pain due to tumor rupture, torsion, or bleeding. Ultrasound examination has a high diagnostic rate and usually shows unilateral ovarian cystic solid mass. Typical ultrasound images include dough sign, wall standing nodule sign, disordered structure sign, lipid fluid stratification sign or waterfall sign.
Serological tests may show mild elevation of CA199, AFP, etc. Complications include torsion, rupture, and infection. Cyst torsion can cause necrosis perforation and intra-abdominal bleeding, while cyst rupture can cause chemical peritonitis. Sebum overflow into the abdominal cavity can form peritoneal lipid granulomas. Mature teratomas containing glial components can form implants in the peritoneum after rupture, known as peritoneal pseudoglioblastoma.
Immature teratoma grows rapidly and can penetrate the capsule in the early stages, directly spreading to the pelvic and abdominal cavity for implantation. Subsequently, lymph node metastasis and extraperitoneal metastasis may occur, with late stage hematogenous metastasis to the lungs, liver, and other organs.
Treatment of left ovarian teratoma
Patients with ovarian teratoma should choose surgical treatment. The surgical range can be selected as accessory resection on the affected side, teratoma removal on the affected side, and/or contralateral ovarian biopsy. The surgical method can be laparoscopic or open.
Based on the preliminary findings during surgery, it is suspected that teratoma is benign or malignant. If it is suspected to be a malignant tumor, frozen pathological examination should be sent as soon as possible. Malignant teratoma should also undergo complete staged surgery as much as possible. During the operation, a comprehensive exploration of the pelvic cavity, resection of the greater omentum, peritoneum, and lymph node biopsy were performed to understand the extent of tumor infiltration and the degree of involvement of various organ tissues.
For young patients with malignant teratoma who have fertility requirements, surgery to preserve fertility function can be considered. The current recommended chemotherapy regimen by WHO is the BEP regimen.
Through the content introduced by the above editor about left ovarian teratoma, everyone has a better understanding of left ovarian teratoma. The ovary is a very important organ in women, so every woman should take it seriously. Once any discomfort is found, she should seek medical attention immediately. Once diagnosed with left ovarian teratoma, she should actively seek treatment.
