Teratoma

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Written by Liu Wei Jie
Obstetrics
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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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Written by Wang Jing Hua
Obstetrics and Gynecology
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What department should I go to for a teratoma?

Teratomas are not considered complex and difficult diseases; you can just register for a regular gynecology appointment. Then, related examinations such as ultrasound scans are necessary to assess aspects like the size and echoes of the teratoma, the presence of ascites in the pelvic cavity, whether there are adhesions nearby, and the clarity of the boundaries. Corresponding gynecological examinations are also required, as well as checking for symptoms such as compression of adjacent tissues and the presence of significant abdominal pain. Generally, teratomas around five centimeters in size may experience torsion of the pedicle, so laparoscopic surgery might be necessary when required.

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Written by Yue Hua
Obstetrics and Gynecology
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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 Liu Jian Wei
Obstetrics and Gynecology
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Do ovarian teratomas hurt?

Ovarian teratomas do not cause abdominal pain under normal conditions. However, if a patient engages in vigorous activities, it can lead to a torsion of the ovarian teratoma. The torsion of the teratoma can drag the ovary to twist along with it, consequently affecting the blood supply to the adnexa on the affected side, leading to ischemic necrosis of the adnexa, and thus causing a sudden onset of severe lower abdominal pain on one side. In such abnormal situations, the ovarian teratoma can indeed cause lower abdominal pain.