What does pelvic cystic mass mean?

When we feel unwell, we need to undergo a lot of tests to confirm the disease we have before going to the hospital for treatment. For women, there will be many professional names during the examination process, and because they don’t understand them, they will have wild thoughts. Today we will explain to you what pelvic cystic mass means. If you find this item during the examination, you must treat it correctly.

The most likely possibility is an ovarian cyst. Such as ovarian endometrioid cyst (a cyst caused by endometriosis), serous cystadenoma, mucinous cystadenoma, etc. Generally, it is likely to be benign.

Ovarian tumors are common tumors of the female reproductive system and have various properties and morphologies, namely unilateral or bilateral, cystic or solid, benign or malignant. Among them, cystic tumors are more common and have a certain proportion of malignant tumors.

The diagnosis of ovarian cysts often varies in difficulty depending on the size and characteristics of the tumor. When taking a detailed medical history, attention should be paid not only to the reproductive organs, but also to the general condition and the relevant medical history of other important organs. Combining clinical manifestations with physical examinations, in addition to paying attention to the characteristics of the tumor itself, the general condition should also be understood. Therefore, not only gynecological examinations, but also general examinations, especially abdominal examinations, are extremely important. If necessary, other auxiliary diagnostic methods should be used, and a correct diagnosis can only be obtained after a comprehensive analysis of the medical history.

Patients with ovarian cysts may have a history of abdominal masses. Through abdominal palpation and bimanual examination, the boundaries and mobility of the uterus and the mass can usually be determined.

Surgical treatment: The treatment of ovarian cysts depends on factors such as the patient's age, whether it is malignant, the location, volume, size, growth rate of the cyst, whether the reproductive function is preserved, and the patient's subjective wishes.

1. Surgical treatment of benign ovarian cysts

(1) Ovarian cystectomy. This procedure is often used in young patients, especially premenopausal patients, while preserving normal ovarian tissue as much as possible.

(2) Salpingo-oophorectomy: Older patients (over 45 years old) or postmenopausal patients can undergo unilateral or bilateral salpingo-oophorectomy.

2. Surgical treatment of malignant ovarian cysts

(1) Most patients are already in the advanced stage when they seek medical treatment, so every effort should be made to remove the primary cyst and any visible pelvic and abdominal metastases.

(2) Consider placing a catheter in the abdominal cavity to facilitate the postoperative intraperitoneal injection of chemotherapy drugs.