How is a teratoma diagnosed?

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on April 09, 2025
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Teratomas are mostly diagnosed through symptoms, such as abdominal pain or bloating, and are identified with an ultrasound examination. Generally, these two tests are used. Additionally, blood tests may be conducted, but there are no very specific tumor markers that will be revealed. The primary means of diagnosis still rely on ultrasound and gynecological palpation. If a woman of childbearing age experiences unexplained abdominal pain, feels bloated, or notices occasional increases in abdomen size, it is recommended to undergo a gynecological ultrasound examination at a hospital.

Other Voices

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Written by Li Lin
Obstetrics and Gynecology
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The difference between teratoma and ovarian cysts

Teratomas are commonly found in both ovaries and can be distinguished from ovarian cysts by their appearance. Ovarian cysts contain a fluid similar to water, whereas teratomas typically contain sebaceous fluid and may also include tissues such as hair, bones, or teeth. Under a microscope, ovarian cysts show epithelial-like changes, while teratomas exhibit changes typical of germ cells. Teratomas and ovarian cysts can also be easily differentiated using color ultrasound examinations.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Can a teratoma disappear with medication?

Ovarian teratomas cannot be treated with medication. Ovarian teratomas are the most common type of germ cell tumor and are categorized into mature and immature teratomas. Mature teratomas, also known as dermoid cysts, are mostly benign tumors. These cysts generally have a single chamber filled with sebum and hair, and sometimes teeth and bone material can also be found inside. On the other hand, immature teratomas are malignant tumors, making up 1%-3% of ovarian teratomas, commonly seen in younger patients with an average age between 11 and 19 years. Thus, it is crucial to seek prompt medical evaluation upon detection of an ovarian teratoma to determine the size of the cyst and, if necessary, pursue surgical treatment, as medication will not resolve the issue.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How large must a teratoma be to require surgery?

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.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do teratomas need to be surgically removed?

If a teratoma is confirmed, it is recommended that the patient undergo surgery immediately to confirm the diagnosis. The surgery for teratoma can be divided into minimally invasive and open surgery. Due to the development of current medical techniques, most teratomas can be operated on using laparoscopy, which is characterized by faster recovery and less trauma. However, in certain special cases, such as when the teratoma is large or the patient is overweight and has a number of other chronic diseases, open surgery can be chosen.

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Written by Du Rui Xia
Obstetrics
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Are ovarian teratomas congenital?

Ovarian teratomas are congenital, primarily deriving from primordial germ cells. Teratomas consist of tissues from multiple embryonic layers, mostly being immature types. Most ovarian teratomas are cystic. Depending on the degree of tissue differentiation, teratomas can be classified as benign or malignant. Benign teratomas, also known as mature teratomas, are more common in women aged 20-40 and are usually unilateral and either round or ovoid in shape. A portion of these teratomas are malignant, typically found in younger patients, roughly aged 11-19 years, and this condition has a poorer prognosis, requiring timely surgical treatment.