Why do benign teratomas recur?

Written by Yan Chun
Oncology
Updated on December 10, 2024
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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 Wang Jing Hua
Obstetrics and Gynecology
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How long after ovarian teratoma surgery can I go back to work?

Ovarian teratoma surgery generally requires at least one month of rest. Afterward, the timing to return to work should depend on one's personal health status and recovery condition. It also depends on the physical demands of the job, as everyone's situation is different. Ovarian teratoma surgery usually involves minimally invasive procedures, which generally allow for a faster recovery; most people can return to work after about a month. Only a minority of patients undergo open surgery, or some individuals who are in poorer health might need to rest for up to three months post-surgery.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Is a teratoma the same as a cyst?

Teratoma is a type of ovarian cyst, and whether surgery is necessary depends on the specific conditions found during examination. Teratomas are related to congenital factors. It has been found that medication is ineffective in treating teratomas. If the teratoma is relatively small, regular check-ups can be sufficient. However, if it is growing rapidly, there is a possibility of malignant transformation, or if it is large enough to cause abdominal pain due to torsion, then surgery must be prepared for immediately. Ultimately, the nature of the teratoma is determined through pathological examination.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How should a teratoma be treated?

In gynecology, a teratoma refers to an ovarian teratoma. The surgical procedure for an ovarian teratoma is tumor excision. Therefore, immediate surgery is required once an ovarian teratoma is diagnosed. During an ultrasound, only the ovarian tumor can be seen, but its nature cannot be determined. Typically, a rapid pathological examination is needed during surgery. If the pathology results still indicate a mature teratoma, it is a benign tumor, and surgical removal is sufficient. Therefore, once discovered, surgical treatment is necessary because if the teratoma grows larger, it can damage the ovaries, potentially causing infertility or reduced ovarian function.

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Written by Zhao Li Li
Obstetrics
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Ovarian teratoma grows larger after pregnancy.

If it is confirmed that there is an ovarian teratoma, normally, its impact on pregnancy is not significant. However, the teratoma may grow rapidly due to hormonal influences. If the specific pathological nature of the teratoma can be determined and malignancy is ruled out, it is possible to temporarily observe the condition. During the entire pregnancy, close monitoring of the growth of the tumor is necessary. It is feasible to perform a cesarean section during a normal full-term delivery, and remove the ovarian teratoma surgically, achieving complete cure.

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Written by Liu Wei Jie
Obstetrics
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Is it easy to get pregnant with a teratoma?

First, what is a teratoma? Teratoma is a common ovarian tumor in gynecology, with a very high incidence rate. It is generally benign and the occurrence of teratomas is related to congenital genetic factors. Generally, if a teratoma is found, the first step is to check the size of the teratoma. If it is smaller than five centimeters, tumor series tests are normal, and there is no other discomfort, observation can be initiated. If the teratoma is relatively large, larger than five centimeters, surgical intervention is required. Teratomas themselves are not related to pregnancy, but because teratomas can lead to ovarian cyst torsion, after torsion occurs, one side of the adnexa may need to be removed, which could reduce fertility.