Symptoms of teratoma malignancy

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on June 04, 2025
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Mature teratomas of the ovary belong to a benign lesion; however, if a malignant transformation occurs, its growth rate will increase. As the tumor volume enlarges, it can cause women to experience heaviness and even pain on one side of the lower abdomen, and some women may also experience symptoms of lumbar discomfort. When its volume enlarges and compresses ovarian tissue, it can affect the function of the ovaries, leading to menstrual irregularities, anovulation, and difficulties in conception. Some women may experience the torsion of the teratoma pedicle, inducing acute abdominal pain, especially after sudden changes in body position or urination. Furthermore, when the teratoma undergoes malignant changes and becomes significantly large, it can also compress surrounding organs causing corresponding symptoms. For instance, compression towards the front can affect the bladder, causing frequent urination, whereas compression towards the back can impede bowel movement in the rectum. Sometimes, it can also compress nerves in the pelvic wall, causing pelvic pain.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Ovarian teratoma is what?

Ovarian teratoma, which is one of several types of ovarian cysts, is mostly benign. However, in clinical practice, there is a possibility for some ovarian teratomas to become malignant. Therefore, it is recommended that if ovarian teratoma is suspected, immediate examinations should be conducted at local hospitals to assess the condition. If necessary, it is advised that patients with ovarian teratoma undergo surgical removal of the tumor in the hospital.

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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 Li Shun Hua
Obstetrics and Gynecology
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How long after minimally invasive teratoma surgery can one take a bath?

Minimally invasive surgery for teratomas involves laparoscopic surgery, which causes less harm to patients. After the surgery, there are only three to four small incisions on the abdominal wall, which generally heal within three to five days. If you wish to take a bath, it is usually possible to do so after one week. When bathing, it is crucial to maintain cleanliness around the incisions. It is best to apply iodine before and after bathing to disinfect the area, preventing infection at the incision sites. Additionally, during the bath, avoid rubbing the incisions too vigorously to prevent pain.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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What to do about ovarian teratoma abdominal pain?

If a patient has an ovarian teratoma and also has abdominal pain, they should immediately visit a local hospital for a gynecological examination and a gynecological ultrasound. The main purpose is to confirm whether there is torsion of the ovarian teratoma. Once torsion of the ovarian teratoma occurs, it can cause ischemic necrosis of the ipsilateral fallopian tube and ovary, leading to severe consequences. Therefore, once an ovarian teratoma is detected, it is not advisable for the patient to continue observation treatment. Prompt surgery is key to avoiding pathological changes and complications.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Does a teratoma require immediate surgery?

Not all teratomas require immediate surgery. If a teratoma is found to be relatively small in size, many people can have it remain stable for a long time without significant changes, therefore periodic monitoring is possible. However, if a teratoma shows a rapid increase in size, or if it is already very large with the potential for torsion, or if there is a possibility of rupture or malignant transformation, or if the teratoma has endocrine activity, then immediate surgery may be necessary.