How to differentiate benign from malignant pelvic masses?

If you want to determine whether the pelvic mass you have is benign or malignant, you can do a blood test to check the white blood cells. Friends who suffer from pelvic masses should go to a regular hospital for a detailed examination, because the disease has many uncertainties. If a detailed examination is not carried out, the characteristics of some diseases cannot be judged by the naked eye.

The clinical examination manifestations of pelvic mass are fever, lower abdominal pain that is resistant to pressure, and excessive and purulent vaginal discharge. May be accompanied by fatigue, low back pain, and menstrual disorders. Severe cases may include high fever, chills, headache, and loss of appetite. If there is peritonitis, digestive system symptoms such as nausea, vomiting, and abdominal distension will appear.

When using pelvic mass symptoms, you should carefully inquire about the relevant medical history and collect relevant clinical data. Closely examine the patient and clearly understand the patient's clinical symptoms. The patient's uterus is often posterior, with limited movement or adhesion fixation. If it is salpingitis, you will feel thickened fallopian tubes on one or both sides of the uterus, which are cord-like and slightly tender. If it is hydrosalpinx or tubo-ovarian cyst, a cystic tumor will be felt on one or both sides of the pelvic cavity, and movement will be restricted. If it is pelvic connective tissue inflammation, there will be patchy thickening and tenderness on one or both sides of the uterus, and the uterosacral ligament will become thicker, harder, and tender. A gynecological examination can be performed, because the vagina and cervix are congested and have a large amount of purulent secretions. In case of salpingitis, cord-like thickening can be felt on one or both sides of the uterus, with obvious tenderness. In connective tissue inflammation, one or both sides of the uterus will thicken in patches, the uterosacral ligaments will thicken, and there will be obvious tenderness. When a pelvic abscess forms, a cystic mass with unclear boundaries and tenderness can be felt.

Routine blood examination of pelvic mass can check white blood cells, 10x109/L, with increased neutrophils as the main feature.

The systemic and gynecological examinations of pelvic masses vary greatly due to the different degrees and extent of the lesions. Many patients are diagnosed with endometrial tuberculosis during diagnostic curettage for infertility without obvious physical signs or other subjective symptoms. In more serious cases, if the patient has peritoneal tuberculosis, the abdomen will feel soft or have signs of ascites during examination. When encapsulated effusion is formed, a cystic mass can be felt with unclear boundaries and no movement. The surface may sound hollow when percussed due to intestinal adhesions. The uterus is generally poorly developed and its movement is often restricted due to adhesions around it. If the adnexa are affected, lumps of varying sizes and irregular shapes may be felt on both sides of the uterus. They are hard, have uneven surfaces, appear as nodules or papillary protrusions, or calcified nodules may be felt.