Ovarian teratoma grows during pregnancy

Written by Liu Wei Jie
Obstetrics
Updated on September 04, 2024
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Will ovarian dermoid cysts grow larger after pregnancy? According to clinical experience, there is no correlation between ovarian dermoid cysts and pregnancy status. If there was a dermoid cyst before pregnancy, it is sufficient to monitor its changes during pregnancy check-ups.

Generally, ovarian dermoid cysts do not grow larger after pregnancy. However, it is important to note that ovarian dermoid cysts are prone to torsion and rupture. Therefore, patients with ovarian dermoid cysts should be attentive to any abdominal pain during pregnancy. If there is no abdominal pain, generally there should not be a major issue.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can teratoma affect menstruation?

The majority of teratomas do not have endocrine functions and will not affect menstrual cycles. If there is a delay in menstruation, the first step is to check for pregnancy. If menstruation is delayed for two weeks, pregnancy should be ruled out, and interventions might be necessary, such as an ultrasound to examine the endometrium or a progesterone withdrawal test. Teratomas do not cause menstrual delays unless a very small number of them have endocrine issues. However, these would not suddenly change the menstrual cycle but would potentially cause long-term endocrine changes from the time the teratoma is discovered.

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Written by Du Rui Xia
Obstetrics
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Is the recurrence of ovarian teratoma serious?

If there is a recurrence after undergoing ovarian teratoma surgery, it is considered serious. In such cases, it should be considered that the ovarian teratoma might be malignant, and malignant teratomas can potentially metastasize. Therefore, it is recommended that women, after having ovarian teratoma surgery, should actively pursue further radiotherapy and chemotherapy based on the nature of the teratoma, to control the cancer cells. In daily life, it is advisable to eat a light diet, consume various fresh vegetables and fruits, and avoid cold, spicy, and irritating foods. Moderate exercise should be performed to enhance physical condition and maintain a cheerful mood, all of which can help alleviate the condition.

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Written by Du Rui Xia
Obstetrics
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The difference between ovarian teratoma and cysts

Ovarian teratomas and ovarian cysts are two completely different diseases. Ovarian teratomas are caused by congenital factors and are tumors of the germ cells that can be benign or malignant, usually requiring surgical removal for treatment. Ovarian cysts, on the other hand, are caused by various factors in women, such as poor lifestyle habits or an imperfect diet structure, leading to a hormonal disease. Ovarian cysts can be physiological or pathological. Usually, physiological ovarian cysts gradually disappear with the menstrual cycle, while pathological ovarian cysts can also be benign or malignant. The need for surgical treatment depends on the nature, size, and clinical symptoms of the ovarian cyst.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to treat ovarian teratoma

The treatment for ovarian teratoma can only be addressed through surgical methods; this type of teratoma cannot be treated effectively with medication or conservative approaches. Therefore, once an ultrasound report indicates the presence of a teratoma, it is often advised to undergo surgery as soon as possible. After the surgery, the removed tissue should be examined pathologically again to check for any malignant tendencies. The majority of teratomas are benign, with only a very small number of undifferentiated ones showing malignant potential. Hence, most teratomas require surgical treatment at a hospital. There are different surgical options for treating teratomas, including open abdominal surgery and minimally invasive surgery. If conditions allow, most people will opt for laparoscopic surgery to treat ovarian teratomas.

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Written by Yan Qiao
Obstetrics and Gynecology
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How large must an ovarian teratoma be to require surgery?

Ovarian teratomas, if detected by ultrasound, are indicative of surgery regardless of the size of the tumor. However, it is essential to locate the lesion accurately to proceed with the surgery. For teratomas smaller than two centimeters, it can be quite challenging to find the lesion, which might lead to surgical failure. Additionally, this can increase the trauma for the patient and the costs of surgery. Thus, it is generally advised to perform surgery on teratomas that are larger than two centimeters to ensure a more reliable outcome. In cases where patients have other diseases in conjunction with a teratoma, it is also feasible to consider removing the teratoma during surgery for the other conditions, always attempting to thoroughly explore and locate the teratoma regardless of its size.