Can teratoma be treated with minimally invasive surgery?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on September 10, 2024

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Teratoma is a type of ovarian cyst. Whether a teratoma can be treated through minimally invasive surgery needs to be assessed based on the size of the teratoma. If the teratoma is of normal size, then it can be treated with laparoscopic teratoma surgery. However, if the teratoma is excessively large, such a large teratoma will occupy most of the volume of the pelvic abdomen. In this case, it is not possible to perform minimally invasive surgery. Therefore, further evaluation is needed before performing teratoma surgery to determine if it is suitable for minimally invasive surgery.

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Written by Liu Jian Wei

Obstetrics and Gynecology

41sec

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Do ovarian teratomas hurt?

Ovarian teratomas, if without any complications, do not cause abdominal pain. Many people only discover the presence of ovarian teratomas during routine physical examinations. However, if a series of complications occur with ovarian teratomas, they can lead to abdominal pain. For example, the torsion of an ovarian teratoma, can cause the patient to feel sudden acute pain in the lower abdomen on one side. This pain is generally severe and unbearable and may also be accompanied by symptoms such as nausea and vomiting.

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Written by Liu Wei Jie

Obstetrics

52sec

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Is it easy to get pregnant with a teratoma?

First, what is a teratoma? Teratoma is a common ovarian tumor in gynecology, with a very high incidence rate. It is generally benign and the occurrence of teratomas is related to congenital genetic factors. Generally, if a teratoma is found, the first step is to check the size of the teratoma. If it is smaller than five centimeters, tumor series tests are normal, and there is no other discomfort, observation can be initiated. If the teratoma is relatively large, larger than five centimeters, surgical intervention is required. Teratomas themselves are not related to pregnancy, but because teratomas can lead to ovarian cyst torsion, after torsion occurs, one side of the adnexa may need to be removed, which could reduce fertility.

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Written by Shen Jiang Chao

Radiology

48sec

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Teratoma B-ultrasound manifestation

Teratomas are tumors that occur in germ cells and can develop in many parts of the body. For example, they can occur within the central nervous system, mediastinum, and pelvic cavity, with the latter being more common. On ultrasound, teratomas have typical features, mainly presenting as abnormal masses. These masses predominantly show mixed echogenicity, with strong echogenicity being more pronounced, appearing as strongly echogenic masses. The strong echogenicity primarily refers to contents including teeth, and also visible are areas of medium to low echogenicity, which are mainly composed of fat and hair. Benign teratomas have smooth borders, while malignant teratomas have irregular borders and are generally larger in size.

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Written by Wang Jing Hua

Obstetrics and Gynecology

40sec

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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 Sun Shan Shan

Obstetrics and Gynecology

51sec

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Can ovarian teratomas be treated with Chinese medicine?

Ovarian teratomas cannot be treated with traditional Chinese medicine. Firstly, ovarian teratomas are categorized as germ cell tumors and are divided into mature and immature teratomas. Mature teratomas, also known as dermoid cysts, are benign tumors. The cysts may contain hair, teeth, and some bony material. Immature teratomas, on the other hand, are malignant tumors that make up 1% to 3% of ovarian teratomas and are more common in younger patients aged 11 to 19 years. Therefore, once an ovarian teratoma is suspected, it is necessary to promptly visit a hospital for further examinations to determine the nature of the cyst, and then, based on the examination results, appropriately handle it with timely surgical intervention.