How large must a teratoma be to require surgery?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on December 25, 2024
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Ovarian teratomas belong to a type of ovarian germ cell tumor. Ovarian teratomas can be classified into mature teratomas, also known as dermoid cysts, which are a type of benign tumor. There are also immature teratomas, which are malignant tumors commonly found in younger patients, typically between the ages of 11 and 19. If an ovarian teratoma is found to be over three centimeters in diameter, further examinations such as a CA125 test and pelvic CT scan are needed. In the absence of other complications, elective surgical treatment can be planned. However, if the examination reveals high CA125 levels and the pelvic CT confirms the diagnosis, and the cyst is growing rapidly with high blood lipids, timely surgical treatment is necessary, followed by a rapid pathological examination during the surgery.

Other Voices

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can one have sexual intercourse with a teratoma?

Teratoma is a type of ovarian cyst located within the abdominal cavity. Generally, the presence of a teratoma does not affect the patient's ability to have a normal sexual life. However, it is advised not to engage in overly vigorous sexual activity, as intense sexual activity can cause torsion of the ovarian cyst in the abdominal cavity. Once torsion of the ovarian teratoma occurs, it can lead to torsion of both the fallopian tube and the ovary on the affected side. Following torsion, the twisted fallopian tube and ovary lack blood supply, which can further lead to ischemia and necrosis. In such cases, it becomes necessary to surgically remove the affected fallopian tube and ovary.

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Written by Yan Qiao
Obstetrics and Gynecology
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Does a teratoma that is too large affect fertility?

Ovarian teratoma is a type of commonly seen benign ovarian tumor. Even though it is benign, like in the case of teratomas, it can still potentially affect a woman's fertility. The critical factors are the location and the size of the ovarian tumor. If the tumor originates from the center of the ovary, it is likely to cause significant damage to the ovarian tissue. Additionally, if the tumor is large, it can also cause substantial damage to the normal tissue. These factors can impact a woman’s fertility, leading to a decline or even complete loss of reproductive function. Whether fertility is retained depends on the function of the ovary on the other side.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Is surgery necessary for teratoma?

Ovarian teratoma belongs to a type of germ cell tumor. Ovarian teratomas can be classified into mature teratomas and immature teratomas. Mature teratoma, also known as dermoid cyst, is mostly a benign tumor. Within the cyst, components such as sebum, hair, teeth, and bone can be found. Additionally, mature teratomas have a malignant transformation risk of 2%-4% and are commonly seen in postmenopausal women. On the other hand, immature teratomas are malignant tumors, accounting for 1%-3% of ovarian teratomas and more commonly found in younger patients, with the average age ranging from 11 to 19 years old. Therefore, timely surgical treatment is necessary once an ovarian teratoma is detected.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Does ovarian teratoma affect menstruation?

Ovarian teratomas include mature teratomas, which are benign tumors. These benign ovarian teratomas do not affect menstruation. However, there are also malignant teratomas, which are immature teratomas. Immature teratomas can secrete hormones, and because they secrete different types of hormones, their impact on menstruation varies. If an ovarian teratoma is diagnosed, immediate surgical treatment is required, because if it is an immature teratoma, it is malignant. Prolonged presence can lead to metastasis. If a teratoma is detected early, early-stage malignant tumors can be cured through surgical treatment.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Do teratomas hurt?

Teratomas themselves do not cause pain, especially when they are relatively small, women often have no clinical symptoms. As the size gradually increases, the tumor pulls on the surrounding ligaments, causing abdominal discomfort, such as a feeling of abdominal heaviness, or even abdominal pain. Some women may also experience infection or adhesions with surrounding tissues, leading to abdominal pain. Additionally, some women may have malignant transformation of their teratoma, which invades surrounding tissues and nerves, possibly causing headaches. A small number of women may experience a change in the position of the teratoma after pregnancy or urination, leading to torsion, which can obstruct the blood flow to the tumor, resulting in necrosis and bleeding, causing acute abdominal pain.