What should I do if a teratoma recurs?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on December 24, 2024
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Teratoma is a type of ovarian cyst, and there is a chance of recurrence after treatment. Clinically, once the recurrence of a teratoma is suspected, it is mostly recommended that the patient undergo surgery again to remove the recurrent teratoma and conduct a postoperative pathological examination to assess whether there is a tendency for the teratoma to become malignant. Further treatment plans are formulated based on the results of the postoperative pathology. After discovering the recurrence of a teratoma, there is no need to panic excessively; it is sufficient to seek medical attention promptly.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Is ovarian teratoma cancer?

Ovarian teratomas are divided into benign and malignant types. If the teratoma is malignant, then it is a type of cancer. If it is benign, it is not cancer; it is just a tumor. The malignancy of a tumor is not as high as that of cancer. Therefore, it is necessary to determine its pathological type. After removing the teratoma, it should be sent to the pathology department for examination to clearly determine whether it is benign or malignant. For benign teratomas, postoperative follow-up observation is sufficient. However, if the teratoma is malignant, the scope of the surgery should be conducted according to the protocols for ovarian cancer, and chemotherapy is required after surgery.

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Written by Du Rui Xia
Obstetrics
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Is surgery necessary for ovarian teratomas?

When dealing with ovarian teratomas, whether surgery is required depends on the nature and size of the teratoma and the clinical symptoms of the patient. Not all teratomas necessarily require surgical treatment. Ovarian teratomas are germ cell tumors that occur in the ovaries. They can be classified into benign and malignant teratomas. Benign teratomas are well differentiated, and the tumor body may contain tissues such as hair and teeth. Generally, smaller teratomas can be observed periodically, but if the teratoma is larger and causes a pelvic mass lesion, surgical treatment is necessary. Malignant teratomas definitely require surgical excision and treatment.

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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.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Does teratoma affect menstruation?

Teratoma, under normal circumstances, does not affect menstruation, but it does affect fertility. If it is confirmed that one side has a teratoma, surgery is generally required. After treatment, the ovary on that side is typically removed. Once removed, that ovary will no longer ovulate, and ovulation must occur from the other ovary. The maintenance of hormone levels in the body needs to be supported by the other ovary. If the function of the other ovary is normal, menstruation will continue to occur normally; it will not affect menstruation. However, if after the removal of the teratoma, one ovary is removed, the chance of conception is reduced by half compared to others. Therefore, it is crucial for patients with teratoma to undergo surgery as early as possible. After the surgery, if the pathology shows no issues and if it is a simple teratoma removal, it does not affect menstruation.