What to do about ovarian teratoma abdominal pain?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on December 27, 2024
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If a patient has an ovarian teratoma and also has abdominal pain, they should immediately visit a local hospital for a gynecological examination and a gynecological ultrasound. The main purpose is to confirm whether there is torsion of the ovarian teratoma. Once torsion of the ovarian teratoma occurs, it can cause ischemic necrosis of the ipsilateral fallopian tube and ovary, leading to severe consequences. Therefore, once an ovarian teratoma is detected, it is not advisable for the patient to continue observation treatment. Prompt surgery is key to avoiding pathological changes and complications.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How is a teratoma surgically removed?

When a woman has an ovarian teratoma, treatment should be determined based on the specific age of the woman, whether the teratoma is benign or malignant, and other factors. For example, if the woman is relatively young and has a benign teratoma and wishes to preserve her fertility, she can undergo ovarian teratoma excision surgery, which can be performed either laparoscopically or through an open surgery. During the operation, the entire teratoma can be completely separated and placed in a specimen bag to prevent contamination of the woman's pelvic cavity and avoid chemical peritonitis or granuloma. If the teratoma is malignant, then it is necessary to remove the adnexa and perform a comprehensive staging surgery. After surgery, based on the results of the pathological examination, it will be decided whether additional treatments such as radiotherapy or chemotherapy are needed.

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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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Does teratoma affect fetal development?

Teratomas are not normal fetuses; they are a type of tumor originating from germ cells in the ovaries. Pregnancy will not affect the normal development of the baby, and regular prenatal check-ups at the hospital are advisable. If it is possible to surgically remove the teratoma before trying to conceive, it is best to do so. Teratomas can be benign or malignant. Benign teratomas contain various components, including skin, hair, teeth, and bones. Malignant teratomas are poorly differentiated and more prone to malignant transformations and metastasis.

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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.

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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.