Can a teratoma be treated with hysteroscopy?

Written by Li Lin
Obstetrics and Gynecology
Updated on December 16, 2024
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Hysteroscopy is an effective method for the examination and treatment of diseases within the uterine cavity, performed by entering through the vagina and cervix. However, teratomas are tumors commonly located in both ovaries, and since hysteroscopy cannot access the abdominal cavity, it is not possible to perform teratoma surgery with hysteroscopy. If teratomas are found in both ovaries, it is necessary to choose laparoscopy to remove the tumors within the abdominal cavity, rather than using hysteroscopy for treatment.

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Written by Yan Chun
Oncology
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Why do benign teratomas recur?

Benign teratomas, although not aggressive or metastatic, do not require adjuvant chemotherapy or radiation therapy after curative surgery to fight the tumor. However, many benign teratomas recur after surgery and require further surgical treatment. The cause of benign teratoma recurrence is considered to be due to the persistent presence of oncogenic factors. Therefore, benign tumors can also recur, since the exact cause and pathogenesis of benign teratomas are still unclear clinically. Thus, prevention from an etiological perspective is not possible, and the only option is timely surgical removal upon tumor detection to prevent the benign teratoma from becoming malignant. For patients with benign teratomas, regular follow-up is necessary after curative surgery to monitor any changes in the condition. If signs of recurrence are detected, prompt intervention is necessary to prevent malignancy.

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Written by Yue Hua
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Is a teratoma pregnancy?

Teratoma is not a pregnancy; it is a type of ovarian tumor. Most of the time, this tumor is benign. It commonly occurs in individuals aged between 20 and 40 years. The formation of teratomas is generally due to poor differentiation during the embryonic stage, resulting in the development of this type of tumor. Very occasionally, teratomas can become malignant, which requires high vigilance. Most cases of malignancy are seen in young females aged between 11 and 19. Malignant teratomas are usually solid, but they can also have cystic areas.

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Written by Zhang Lu
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Does teratoma affect the fetus?

Teratoma is a common benign ovarian tumor in women, and most teratomas do not affect the fetus. Since the majority of teratomas are smaller than 5cm, even under the stimulation of pregnancy, teratomas generally do not grow significantly large, and it is generally considered that small teratomas do not affect the fetus. However, if the teratoma is very large, more than 8cm, there is a risk of rupture and infection during pregnancy, which could potentially affect the fetus. For large teratomas during pregnancy, enhanced monitoring is necessary to avoid rupture and infection, in order to protect the fetus.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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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Oncology
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Formation of teratoma

Teratoma is a type of tumor disease originating from germ cells, clinically classified into benign and malignant categories. The specific cause of teratoma formation is currently unclear; it is considered to be due to abnormal mutations occurring during the development of germ cell tumors, thereby forming tumors. The formation of teratomas also involves some inducing factors, such as familial genetic history. Due to specific genetic mutations in the family, the incidence of familial teratomas increases. Additionally, some external infections are also related to the occurrence of teratomas, ultimately leading to their formation.