Can a teratoma be treated with hysteroscopy?

Written by Li Lin

Obstetrics and Gynecology

Updated on December 16, 2024

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Hysteroscopy is an effective method for the examination and treatment of diseases within the uterine cavity, performed by entering through the vagina and cervix. However, teratomas are tumors commonly located in both ovaries, and since hysteroscopy cannot access the abdominal cavity, it is not possible to perform teratoma surgery with hysteroscopy. If teratomas are found in both ovaries, it is necessary to choose laparoscopy to remove the tumors within the abdominal cavity, rather than using hysteroscopy for treatment.

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Written by Fan Li Ping

Obstetrics and Gynecology

52sec

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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 Gao Tian

General Surgery

36sec

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Is ovarian teratoma a major surgery?

Generally, ovarian teratomas are considered major surgeries and are closely related to the nature of the teratomas. These are common major gynecological surgeries. It is recommended to visit the obstetrics and gynecology department for comprehensive examinations and a full-body assessment. Additionally, procedures such as biopsy are needed to determine the nature of the tumor, after which an appropriate treatment plan can be chosen. Options generally include open surgery or laparoscopic surgery, both of which are relatively major procedures.

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Written by Li Lin

Obstetrics and Gynecology

37sec

home-news-image

Can a teratoma be treated with hysteroscopy?

Hysteroscopy is an effective method for the examination and treatment of diseases within the uterine cavity, performed by entering through the vagina and cervix. However, teratomas are tumors commonly located in both ovaries, and since hysteroscopy cannot access the abdominal cavity, it is not possible to perform teratoma surgery with hysteroscopy. If teratomas are found in both ovaries, it is necessary to choose laparoscopy to remove the tumors within the abdominal cavity, rather than using hysteroscopy for treatment.

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Written by Du Rui Xia

Obstetrics

50sec

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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 Shen Jiang Chao

Radiology

48sec

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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.