What are the symptoms of teratoma recurrence?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on January 21, 2025
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If a teratoma recurs, in cases of benign teratomas, generally there are no symptoms. Symptoms only arise when the tumor grows large enough to compress the bladder and intestines, which might induce signs of bladder and rectal irritation. Additionally, a teratoma might undergo torsion due to changes in body position, causing sudden lower abdominal pain. If it is a malignant teratoma, there might not be noticeable symptoms early on. The recurrence of a teratoma can only be detected through regular monitoring with ultrasound and tumor markers; there are no better methods available.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What is the cause of the pain from a teratoma?

Female teratomas are cystic-solid tumors located on the ovaries. When they are small in size, they generally do not cause pain. However, as they grow larger, due to gravitational pull, they stretch the surrounding ligaments, causing women to experience hidden pain on one side of the lower abdomen. This pain is bearable and only intensifies after vigorous activities or intercourse. Some women may experience increased pain if they have a pelvic infection or during menstruation. Because teratomas are uneven in texture, if they are not adherent to surrounding structures and are relatively mobile, and their stalk is thinner, they might twist under certain circumstances, such as rolling over, spinning hula hoops, or during pregnancy, when the uterus grows and changes the position of the teratoma, leading to acute lower abdominal pain from torsion of the teratoma’s stalk. Therefore, when a woman experiences abdominal pain from a teratoma, it is essential to conduct a gynecological examination and pelvic ultrasound to understand the specific cause of the pain.

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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 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 Li Shun Hua
Obstetrics and Gynecology
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How to treat teratoma?

Teratomas, for women, refer to ovarian teratomas. Once diagnosed, active surgical treatment is necessary. This is because such tumors could be malignant or may undergo torsion, thus requiring prompt treatment. Continued growth can cause destruction of the ovarian tissue, affecting ovarian function. If ovarian torsion occurs, it can lead to the necrosis of the ovary, also impacting its function. Therefore, surgical treatment is needed after diagnosis.

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Written by Li Chang Yue
General Surgery
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How long does it take to recover from a laparoscopic teratoma surgery?

Laparoscopic surgery for teratomas generally allows those with minor and less severe symptoms to recover back to normal within about one to two weeks. However, recovery takes longer for complex teratomas, especially those that involve the removal of parts of organs. In severe cases where sections of the intestine are removed, recovery can extend to three to four weeks or more. Therefore, the specific recovery time for treating teratomas with laparoscopy must be assessed on a case-by-case basis, considering the patient's specific condition. Moreover, after laparoscopic surgery for teratomas, it is essential to conduct further pathological examinations. Some malignant teratomas may require additional surgeries, and maybe even include chemotherapy or other treatment measures, potentially extending the recovery period.