What are the symptoms of teratoma recurrence?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on January 21, 2025
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If a teratoma recurs, in cases of benign teratomas, generally there are no symptoms. Symptoms only arise when the tumor grows large enough to compress the bladder and intestines, which might induce signs of bladder and rectal irritation. Additionally, a teratoma might undergo torsion due to changes in body position, causing sudden lower abdominal pain. If it is a malignant teratoma, there might not be noticeable symptoms early on. The recurrence of a teratoma can only be detected through regular monitoring with ultrasound and tumor markers; there are no better methods available.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is surgery necessary for a teratoma?

Once the presence of a teratoma is considered, surgical treatment is recommended. Surgery serves two purposes: first, to remove ovarian cysts for disease treatment; and second, the removed ovarian cysts require routine postoperative pathology to confirm the diagnosis of ovarian teratoma. Without a pathological diagnosis, it cannot be definitively diagnosed as an ovarian teratoma; the diagnosis must be supported by pathological results.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Does teratoma affect menstruation?

Teratoma, under normal circumstances, does not affect menstruation, but it does affect fertility. If it is confirmed that one side has a teratoma, surgery is generally required. After treatment, the ovary on that side is typically removed. Once removed, that ovary will no longer ovulate, and ovulation must occur from the other ovary. The maintenance of hormone levels in the body needs to be supported by the other ovary. If the function of the other ovary is normal, menstruation will continue to occur normally; it will not affect menstruation. However, if after the removal of the teratoma, one ovary is removed, the chance of conception is reduced by half compared to others. Therefore, it is crucial for patients with teratoma to undergo surgery as early as possible. After the surgery, if the pathology shows no issues and if it is a simple teratoma removal, it does not affect menstruation.

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Written by Du Rui Xia
Obstetrics
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How long after ovarian teratoma surgery can one become pregnant?

When suffering from ovarian teratomas, it is necessary to undergo surgical removal as soon as possible. For women with fertility needs, it is generally possible to plan for pregnancy three months after the surgery. Ovarian teratomas are mostly benign, and the body can usually recover quickly after the surgery, approximately 2-3 months later, at which point the ovaries generally resume normal ovulatory function. It is recommended that women undergo regular follow-ups at the hospital after the surgical removal, as there is a possibility of recurrence of teratomas. Moreover, it is advisable to schedule intercourse based on the ovulation status.

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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 Li Lin
Obstetrics and Gynecology
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Can ovarian teratomas become cancerous?

Ovarian teratomas are mostly benign tumors, and it is usually sufficient to undergo tumor excision or unilateral oophorectomy. However, ovarian teratomas can become malignant, and in such cases, corresponding chemotherapy treatment should be used after surgery based on the condition. Even after chemotherapy, malignant teratomas may recur. If the malignant teratoma recurs, further surgeries can be performed. Each surgery can reduce the malignancy of the teratoma, so surgery combined with chemotherapy is very effective for the treatment of malignant teratomas.