shock! Ovarian borderline tumors can cause a series of complications

Ovarian borderline tumor refers to a tumor that is between benign tumors and cancer. Therefore, it is a latent cancer and must be taken seriously. Ovarian borderline tumors can cause a series of complications. Surgical treatment can be chosen to improve the condition. In daily life, you can pay attention to strengthening the care of the ovaries and pay attention to your diet.

Symptoms of borderline ovarian tumors:

The clinical symptoms of borderline ovarian tumors are nonspecific, mainly abdominal distension, abdominal mass and lower abdominal pain. Lymph node metastasis also exists, and the affected lymph nodes are mostly pelvic and para-aortic lymph nodes. The lesions of the affected lymph nodes are similar regardless of whether the tumor is accompanied by implantation.

Complications of borderline ovarian tumors:

1. Tumor rupture

It may cause spontaneous rupture due to ischemic necrosis of the cyst wall or erosion and penetration of the cyst wall by tumor; or it may cause traumatic rupture due to squeezing, delivery, gynecological examination and puncture. After rupture, the cyst fluid flows into the abdominal cavity and irritates the peritoneum, which can cause severe abdominal pain, nausea, vomiting, and even shock. During the examination, there are signs of abdominal irritation such as abdominal wall tension, tenderness, rebound pain, etc., and the original mass has shrunk or disappeared. After the diagnosis is confirmed, laparotomy should be performed immediately to remove the cyst and clean the peritoneum.

2. Infection

It is less common and is often secondary to tumor pedicle torsion or rupture. The main symptoms include fever, abdominal pain, increased white blood cell count and varying degrees of peritonitis. The infection should be actively controlled and surgical exploration should be performed at a later date.

What tests are needed for borderline ovarian tumors?

The diagnosis of borderline ovarian tumors is based on histopathology (WHO, 1999): ① The nuclear abnormalities and mitotic figures of borderline tumor cells are between obviously benign and definitely malignant; ② Some atypical stratified epithelial cell clusters are separated from their original locations; ③ There is a lack of obvious stromal infiltration. Other tests may include:

1. Laboratory examination:

Gynecological examination and examination of tumor markers such as serum CA125 and CA19-9.

2. Other auxiliary examinations:

Laparoscopy, vaginal ultrasound, and histopathological examination.