What should I do if I have a left adnexal teratoma?

Generally speaking, the appearance of teratoma in the adnexal area is usually closely related to sexual life. If you often have unclean sexual life, it is easy for the reproductive organs to be infected by viruses, which will increase the risk of teratoma. Once a teratoma is found in life, it needs to be treated in time. While actively treating it, you need to develop good living habits and eating habits.

Ovarian teratoma is a common ovarian germ cell tumor that occurs frequently in women of childbearing age. It accounts for approximately 15% of all primary ovarian tumors, of which 95%-98% are benign mature teratomas and only 2%-5% are malignant teratomas. Mature cystic teratomas mostly occur in women of childbearing age around 30 years old; the clinical symptoms are non-specific, the main manifestation is pelvic mass, 25% of patients are discovered accidentally, and 10% of patients will experience acute abdominal pain due to tumor rupture, torsion or bleeding.

Ovarian teratomas are usually composed of 2-3 germ layers. Mature cystic teratoma has a smooth surface, intact capsule, and is about 10 cm in diameter. The cyst contains sebum and hair, and sometimes the head composed of teeth, bones and scalp can be seen, and the head is characterized by protruding into the cavity. The degree of differentiation of immature teratomas varies, showing the process of evolution of each germ layer from immature to mature stage. The histological morphology ranges from cancer to sarcoma, with various components mixed. Teratomas containing neural components are classified as immature teratomas.

The initial diagnosis of teratoma mainly relies on imaging examinations such as ultrasound. Surgical pathological examination is the gold standard for diagnosis. Clinically, it should be differentiated from diseases such as pelvic inflammatory tumor, endometriosis, uterine subserosal fibroids, corpus luteum rupture, and appendicitis.

Treatment of ovarian teratoma

1. Ovarian teratoma can undergo tumor anti-cancer testing. If pathological examination is required, you should apply for frozen sections to avoid a second operation.

2. After ovarian teratoma surgery, pregnancy is possible as long as normal ovarian function is restored. After the teratoma is diagnosed, it is best to treat it as soon as possible, preferably with surgery.

3. Teratomas can be divided into benign and malignant ones, but malignant teratomas are different from other ovarian malignant tumors. Teratomas are formed by another embryo during fetal development and do not belong to the patient's own tissue. Neither benign nor malignant represents the nature of the patient's own ovarian tissue. As long as the operation is delicate and the technique is skilled, the teratoma can be completely separated and the patient's own ovarian tissue can be retained. Therefore, in the treatment of ovarian teratoma, no matter whether the teratoma is benign or malignant, it is not necessary to remove the ovaries.