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Liu Jian Wei
Obstetrics and Gynecology
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Proficient in diseases
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Will teratoma recur after resection?
Teratomas in ovarian cysts are a type that can recur after surgery. After surgery, teratomas require close monitoring, and if recurrence occurs, reoperation for removal is necessary. Therefore, regular gynecological ultrasound post-surgery is key to confirm whether the teratoma has recurred. It is recommended that patients undergo regular gynecological ultrasound examinations at their local hospital after surgery, and if a recurrence of the teratoma occurs, seeking medical attention promptly is crucial.
Why does a teratoma have hair?
Mature teratomas contain lipids, hair, and even bone and other tissue structures within the tumor cavity. The main reason for this is that teratomas are composed of cells from multiple embryonic layers. These embryonic layer cells can develop in different directions, further developing into tissues such as hair, lipids, or bones. Therefore, during surgical procedures, it is common to find hair within the teratoma.
How is cervical cancer screened?
Cervical cancer screening is a routine gynecological examination item for married women and women who are sexually active. Cervical cancer screening includes TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) tests. The TCT is a cytological examination of the cervix to determine if there are any cervical lesions based on cell morphology. HPV is the human papillomavirus, and its presence is a high-risk factor for cervical cancer. Therefore, cervical cancer screening consists of both TCT and HPV tests. If abnormalities are found in either test, a cervical biopsy may be necessary to confirm the presence of cervical lesions. It is best to conduct these tests between three to seven days after the end of menstruation.
Can cervical polyps disappear on their own?
Under normal circumstances, cervical polyps do not disappear on their own. However, it is often observed in outpatient clinics that cervical polyps identified before menstruation disappear after menstruation. This scenario is relatively rare, but it does occur. This does not mean that the cervical polyp has disappeared spontaneously. Rather, under the influence of menstruation, the cervical polyp can retract into the cervix. During gynecological ultrasound or examinations, it is not possible to detect the retracted cervical polyp. In such cases, it is recommended that the patient returns for a follow-up examination in the clinic one to two weeks later to confirm whether the cervical polyp still exists.
Cervical cancer is divided into several stages.
Cervical cancer is categorized into four stages based on the extent of the cancer lesion, with different stages receiving different treatments clinically. Stage I cervical cancer is the earliest stage, while stage IV cervical cancer is the latest stage, often invading organs beyond the reproductive system. Clinically, early-stage cervical cancer is primarily treated with surgical resection, followed by postoperative radiotherapy and chemotherapy to reduce the likelihood of cancer recurrence. In contrast, late-stage cervical cancer is treated primarily with radiotherapy and chemotherapy.
The difference between endometritis and endometrial cancer.
Endometritis falls under the category of inflammation and its general clinical treatment primarily involves anti-inflammatory treatment. Endometrial cancer, on the other hand, is a malignant tumor of the uterus and differs in prognosis and treatment. The preferred treatment for endometrial cancer is surgical. If the patient has missed the opportunity for surgery, chemotherapy or radiotherapy can be administered, with the aim of extending the patient’s life as much as possible. Compared to endometritis, which is relatively mild, endometrial cancer has a more significant impact.
Reasons for the sudden enlargement of uterine fibroids
Uterine fibroids generally grow slowly. In clinical practice, if there is a sudden increase in the size of uterine fibroids in a short period, it is recommended that the patient immediately seek medical attention at a local hospital to ascertain the cause. Commonly observed reasons for an increase in the size of uterine fibroids include: firstly, if the uterine fibroids are tending towards malignancy, they can increase in size rapidly. Additionally, during pregnancy, under the influence of high levels of hormones in the body, pregnant women may also experience a sudden increase in the size of uterine fibroids, accompanied by red degeneration.
Will a teratoma disappear with Chinese herbal medicine?
Teratoma is a common type of ovarian cyst. Clinically, teratomas will not disappear by taking traditional Chinese medicine. Generally, it is recommended that if a patient suspects a teratoma, they should immediately seek medical attention at a local hospital, undergo gynecological examinations, gynecological ultrasound, and other relevant tests, and hospitalization for surgical treatment if necessary. The primary purpose of the surgery is to completely remove the ovarian teratoma. Secondly, the removed ovarian teratoma should be subjected to further pathological examination to confirm whether it is an ovarian teratoma.
Does cervical erosion hurt?
In most cases, cervical erosion does not cause pain. However, cervical erosion caused by inflammation of the cervix and vagina can result in lower abdominal pain in some patients. The primary reason for this pain is the irritation from the inflammation, which can lead to lower abdominal pain and discomfort in the lower back. Therefore, if a patient experiences pain in the lower abdomen and lower back, it is recommended to visit the gynecology department of the local hospital for a gynecological examination to determine whether there is cervical erosion and chronic inflammation, and to provide timely treatment if necessary.
How to eliminate ovarian cysts?
Currently, most ovarian cysts in clinical practice require surgical removal. However, not all ovarian cysts need to be removed surgically. For some ovarian cysts, such as pelvic inflammatory cysts, anti-inflammatory treatment can be given first. After one course of anti-inflammatory treatment, the treatment effect should be evaluated. If the treatment effect is unsatisfactory, surgical treatment can be considered again. Furthermore, if the ovarian cyst is not large, it is also not indicated for surgical removal. Therefore, the severity of the condition needs to be assessed before treating an ovarian cyst.