Will teratoma recur after resection?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on November 21, 2024

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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.

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Written by Shen Li Wen

Obstetrics and Gynecology

1min 13sec

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What is the cause of the pain from a teratoma?

Female teratomas are cystic-solid tumors located on the ovaries. When they are small in size, they generally do not cause pain. However, as they grow larger, due to gravitational pull, they stretch the surrounding ligaments, causing women to experience hidden pain on one side of the lower abdomen. This pain is bearable and only intensifies after vigorous activities or intercourse. Some women may experience increased pain if they have a pelvic infection or during menstruation. Because teratomas are uneven in texture, if they are not adherent to surrounding structures and are relatively mobile, and their stalk is thinner, they might twist under certain circumstances, such as rolling over, spinning hula hoops, or during pregnancy, when the uterus grows and changes the position of the teratoma, leading to acute lower abdominal pain from torsion of the teratoma’s stalk. Therefore, when a woman experiences abdominal pain from a teratoma, it is essential to conduct a gynecological examination and pelvic ultrasound to understand the specific cause of the pain.

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Written by Shen Li Wen

Obstetrics and Gynecology

56sec

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Do teratomas grow quickly?

Ovarian teratomas are a relatively common type of ovarian tumor and belong to germ cell tumors. Depending on the benign or malignant nature of the teratoma, their differentiation and growth rates vary, meaning they grow at different speeds. For instance, benign teratomas, also known as mature teratomas, usually grow slowly. Many women may find that, upon having a check-up every six months or a year, the size of the teratoma remains the same with no significant changes. However, some women may have malignant teratomas, or their previously mature teratomas may become malignant. In such cases, the mass may suddenly increase in size over a short period, causing abdominal pain, and sometimes the mass can be felt in the abdomen.

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Written by Liu Wei Jie

Obstetrics

1min 7sec

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Does ovarian teratoma affect pregnancy?

In gynecology, teratomas are a very common type of ovarian cyst. If a teratoma is discovered during the pre-pregnancy period, its size should be considered. If the teratoma is larger than five centimeters in diameter and is accompanied by abnormalities on a CT scan, it is recommended to undergo surgery before attempting to conceive. If the teratoma is very small, such as two to three centimeters in diameter, it does not affect future pregnancy. If a teratoma is discovered during early pregnancy, opinions vary. Some recommend surgical treatment after the first trimester, while others suggest a pregnancy observation plan. Teratomas during pregnancy are prone to complications such as ovarian cyst torsion, which can cause abdominal pain. Therefore, if you have a teratoma and successfully conceive, be mindful of any pain.

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Written by Liu Jian Wei

Obstetrics and Gynecology

34sec

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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.

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Written by Wang Jing Hua

Obstetrics and Gynecology

44sec

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Is medication effective for ovarian teratoma?

The occurrence of ovarian teratomas is often related to congenital factors; it is a solid tumor for which medication is ineffective. It is necessary to check if there are other symptoms when a teratoma is detected. For example, some ovarian teratomas involve endocrine issues, others may have a tendency to become malignant, or some might be large in size, and some can experience torsion, leading to sudden abdominal pain, among other problems. Some require early surgical treatment, while small ovarian teratomas can be periodically monitored and observed.