Ovarian cyst 3cm

If the ovarian cyst shows 3cm during examination, it means that the symptoms are not so serious. As long as it goes through a period of conditioning and improvement, the cyst will gradually dissipate, and no surgical treatment is required. However, if there is a trend of gradual enlargement, it cannot be ignored. You should go to the hospital as soon as possible for ultrasound and laparoscopy examinations to clarify the real cause of the disease.

Ovarian cysts are a disease that does not have any symptoms at first, but as the condition worsens, you will find that your breasts are often swollen and painful, and there will be an obvious lump when you touch them. These are very common symptoms. As the abdomen becomes irritated, the situation will become more and more serious, and eventually it will be out of control. You should take some painkillers to improve the condition.

The most significant feature of an abdominal mass that is smaller than medium in size, if without complications or malignant transformation, is its mobility, which can often move from the pelvic cavity to the abdominal cavity. In malignant or inflammatory conditions, the tumor is restricted in movement, tenderness is present, and even symptoms of peritoneal irritation and ascites may occur.

Color Doppler ultrasound, MRI, CT, serum tumor markers, etc., as well as abdominal puncture, laparoscopy, laparotomy, etc. in some special cases.

1. Ultrasound examination

Ultrasound is the easiest way to detect ovarian cysts. Ultrasound examination can show that the affected ovary is enlarged and tender.

2. Laparoscopy

The general condition of the tumor can be directly seen, the entire pelvic and abdominal cavity can be observed, multiple biopsies can be taken at suspicious sites, and peritoneal fluid can be absorbed for cytological examination to confirm the diagnosis and provide postoperative monitoring. However, it is contraindicated for patients with huge or adhesive masses, and the retroperitoneal lymph nodes cannot be observed.

3. Radiological diagnosis

MRI, CT, etc. are helpful in diagnosing tumor metastasis to the liver, lungs, and retroperitoneal lymph nodes. Abdominal radiographs can aid in the diagnosis of intestinal obstruction.

4. Others

If the cyst is a malignant ovarian tumor, like other tumors, it can produce and release a variety of products such as antigens, hormones and enzymes. These substances can be detected in the patient's serum through immunological, biochemical and other methods. They are called tumor markers and indicate the presence of a certain tumor in the body.

(1) The antigen marker CA125 is a relatively sensitive tumor marker for ovarian tumors. AFP is the best tumor marker for endodermal sinus tumor. The AFP value may also be elevated in immature teratomas. The increase in AFP often precedes clinical signs, and it is of great significance in diagnosis and monitoring.

(2) The hormone marker human chorionic gonadotropin β-subunit (β-hCG) is a highly specific marker for gestational trophoblastic disease, and its serum concentration is often elevated in patients with ovarian choriocarcinoma. Estrogen levels are elevated in patients with granulosa cell tumors and theca cell tumors. 30% of patients with testicular blastoma have increased urinary 17-ketosteroid excretion.

(3) The excretion of enzyme marker/lactate dehydrogenase (LDH) is increased in patients with ovarian malignant tumors.