Do teratomas need to be surgically removed?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 22, 2024
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If a teratoma is confirmed, it is recommended that the patient undergo surgery immediately to confirm the diagnosis. The surgery for teratoma can be divided into minimally invasive and open surgery. Due to the development of current medical techniques, most teratomas can be operated on using laparoscopy, which is characterized by faster recovery and less trauma. However, in certain special cases, such as when the teratoma is large or the patient is overweight and has a number of other chronic diseases, open surgery can be chosen.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Is teratoma related to HPV?

Teratomas are not related to HPV. Teratomas grow on the ovaries, while HPV infections occur in the cervix or vaginal area, so the locations of these two diseases are different. There are benign teratomas and immature teratomas, which must be surgically removed after detection. Most women will be infected with the HPV virus at some point in their lives, and the majority will clear the virus within two years through their immune system, so there is no need to be overly concerned about HPV infections, just regular follow-ups are sufficient.

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Written by Li Shun Hua
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How to treat teratoma?

Teratomas, for women, refer to ovarian teratomas. Once diagnosed, active surgical treatment is necessary. This is because such tumors could be malignant or may undergo torsion, thus requiring prompt treatment. Continued growth can cause destruction of the ovarian tissue, affecting ovarian function. If ovarian torsion occurs, it can lead to the necrosis of the ovary, also impacting its function. Therefore, surgical treatment is needed after diagnosis.

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Written by Du Rui Xia
Obstetrics
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Can teratoma affect pregnancy?

Teratoma is a relatively common disease that occurs in the ovaries of women, caused by abnormal differentiation of reproductive cells during the embryonic period. Teratomas are classified into benign and malignant types. Teratomas can indeed affect a woman's ability to become pregnant and can pose a threat to health. Potential complications include torsion, rupture, and infection of the teratoma, which can gradually lead to other concurrent conditions. If not treated promptly, it could cause acute diseases and threaten a woman's ability to reproduce, affecting the happiness of the entire family. When an ovarian teratoma enlarges or undergoes degeneration, it may prevent the normal movement of eggs or fertilized eggs, thereby affecting normal fertility. Upon detection of a teratoma, surgery is generally required for treatment.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Can you have intercourse with a teratoma?

When a woman has a teratoma, whether intercourse is advisable depends on the size of the tumor or the woman’s clinical symptoms. For example, if the teratoma is small and usually shows no clinical symptoms, normal intercourse is possible. As the size of the teratoma increases, some women may experience symptoms such as a sensation of heaviness or pain in the lower abdomen accompanied by discomfort in the back. During intercourse, the impact and change in tension could exacerbate these abdominal symptoms. Additionally, frequent changes in position during intercourse might provoke the teratoma, potentially leading to torsion and acute abdominal conditions, such as sudden lower abdominal pain. For these women, intercourse is still possible, but it is important to be gentle and slow when changing positions to avoid inducing these issues.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can teratomas recur?

Teratomas can recur clinically, but the recurrence rate is relatively low. There are cases of ovarian teratoma recurrence after teratoma excision surgery. For recurrent teratomas after surgery, it is still recommended to undergo surgical removal again. With an increase in the number of surgeries, the probability of teratoma recurrence gradually decreases. It is recommended that patients who have undergone teratoma surgery undergo regular follow-up examinations.