Is a teratoma pregnancy?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 02, 2024
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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.

Other Voices

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Does teratoma require blood tests?

If a patient with a teratoma needs to undergo a blood test, the blood test may include routine blood work and blood biochemistry, as well as tumor marker tests such as CA125 and alpha-fetoprotein (AFP) to check for any abnormal increases. If surgery is required for the patient, there might be additional blood tests conducted, including lipid profile, thyroid function tests, and infection and immunity tests. All these require blood draws for the examination.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is teratoma a twin?

Teratomas have no specific correlation with pregnancy status. Teratomas are a type of ovarian cyst and are tumors of the ovaries. Generally, when teratomas are diagnosed clinically, hospitalization and surgery are required for treatment. Teratomas are not connected to twin pregnancies. Teratomas are relatively common in clinical settings, and the diagnosis needs to be confirmed by postoperative pathology. Teratomas can be categorized into benign and malignant types, each requiring different treatments.

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Written by Shen Jiang Chao
Radiology
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Teratoma B-ultrasound manifestation

Teratomas are tumors that occur in germ cells and can develop in many parts of the body. For example, they can occur within the central nervous system, mediastinum, and pelvic cavity, with the latter being more common. On ultrasound, teratomas have typical features, mainly presenting as abnormal masses. These masses predominantly show mixed echogenicity, with strong echogenicity being more pronounced, appearing as strongly echogenic masses. The strong echogenicity primarily refers to contents including teeth, and also visible are areas of medium to low echogenicity, which are mainly composed of fat and hair. Benign teratomas have smooth borders, while malignant teratomas have irregular borders and are generally larger in size.

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Written by Fan Li Ping
Obstetrics and Gynecology
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Can ovarian teratomas become cancerous?

Most ovarian teratomas are a type of benign tumor on the ovaries, but a few may become malignant. Therefore, if an ultrasound suggests an ovarian teratoma and it is relatively small, around two to three centimeters, without any symptoms, we can temporarily observe it. However, the condition is that we should test for tumor markers, such as checking if there are significant increases in CA-125 or AFP, to see if there's a tendency for malignancy. Another condition is that regular follow-up examinations are essential. If there's a sudden increase in size in a short period or a continuous growth, it is advisable to consider surgical treatment, as early surgical intervention tends to have better outcomes.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Does a teratoma require immediate surgery?

Not all teratomas require immediate surgery. If a teratoma is found to be relatively small in size, many people can have it remain stable for a long time without significant changes, therefore periodic monitoring is possible. However, if a teratoma shows a rapid increase in size, or if it is already very large with the potential for torsion, or if there is a possibility of rupture or malignant transformation, or if the teratoma has endocrine activity, then immediate surgery may be necessary.