Does ovarian teratoma affect the fetus?

Written by Du Rui Xia
Obstetrics
Updated on November 12, 2024
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Ovarian teratoma is a type of gynecological disease, originating from germ cells, and is a relatively common type of ovarian germ cell tumor. It can be divided into mature teratomas and immature teratomas. As for the impact of ovarian teratomas on the fetus, it depends on the size and type of the teratoma, as well as the parts it involves, especially teratomas of the testes and ovaries that involve male and female reproductive functions. When suffering from an ovarian teratoma, it is advisable to undergo surgery actively, and to plan for pregnancy after the disease is cured, in order to ensure the healthy development of the fetus.

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Ovarian teratoma grows during pregnancy

Will ovarian dermoid cysts grow larger after pregnancy? According to clinical experience, there is no correlation between ovarian dermoid cysts and pregnancy status. If there was a dermoid cyst before pregnancy, it is sufficient to monitor its changes during pregnancy check-ups. Generally, ovarian dermoid cysts do not grow larger after pregnancy. However, it is important to note that ovarian dermoid cysts are prone to torsion and rupture. Therefore, patients with ovarian dermoid cysts should be attentive to any abdominal pain during pregnancy. If there is no abdominal pain, generally there should not be a major issue.

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Do teratomas grow quickly?

Ovarian teratomas are a relatively common type of ovarian tumor and belong to germ cell tumors. Depending on the benign or malignant nature of the teratoma, their differentiation and growth rates vary, meaning they grow at different speeds. For instance, benign teratomas, also known as mature teratomas, usually grow slowly. Many women may find that, upon having a check-up every six months or a year, the size of the teratoma remains the same with no significant changes. However, some women may have malignant teratomas, or their previously mature teratomas may become malignant. In such cases, the mass may suddenly increase in size over a short period, causing abdominal pain, and sometimes the mass can be felt in the abdomen.

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Written by Liu Jian Wei
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Can teratoma be treated with minimally invasive surgery?

Teratoma is a type of ovarian cyst. Whether a teratoma can be treated through minimally invasive surgery needs to be assessed based on the size of the teratoma. If the teratoma is of normal size, then it can be treated with laparoscopic teratoma surgery. However, if the teratoma is excessively large, such a large teratoma will occupy most of the volume of the pelvic abdomen. In this case, it is not possible to perform minimally invasive surgery. Therefore, further evaluation is needed before performing teratoma surgery to determine if it is suitable for minimally invasive surgery.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What's the matter with ovarian teratoma pain?

The causes of lower abdominal pain in women with ovarian teratomas are complex. Firstly, as the teratoma grows in size, it can, due to gravity, pull on surrounding ligaments, causing pain on one side of the lower abdomen. When the teratoma is particularly large, it can also compress nerves in the pelvis, leading to neuropathic pain. Moreover, teratomas are heterogeneously textured. If they are quite mobile and not adhering to surrounding tissues, sudden changes in body position, or an increase in uterine size during the mid-pregnancy, might shift the position of the teratoma. This can lead to torsion of the stalk, causing local ischemia and hypoxia, and resulting in acute lower abdominal pain.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to Determine if a Teratoma is Benign

Teratomas in women are classified into benign and malignant categories. Benign teratomas typically have a complete capsule and grow very slowly. Some women find that the size of the teratoma does not change significantly during follow-up exams. Malignant teratomas, however, grow quickly and can present severe clinical symptoms, such as abdominal pain, bloating, and pelvic masses, with some women also experiencing fluid accumulation in the abdominal cavity. Furthermore, blood tests for gynecological tumor markers can also be used for differentiation. For example, in malignant tumors, markers such as CA-125, CA-199, and alpha-fetoprotein are elevated to varying degrees, particularly alpha-fetoprotein. During a CT scan, malignant teratomas may show unclear borders, potentially indicating invasion into the surrounding tissues. Additionally, after surgical removal of the tumor, pathological histological examination can be conducted for further differentiation. For instance, malignant teratomas tend to have a higher proportion of immature components.