1. Benign tumors In principle, once benign gynecological tumors are diagnosed, they should be promptly treated with surgery (except for uterine fibroids). Surgery almost always yields good results and the patient recovers quickly. However, the choice of surgical method is, in principle, different from that for malignant tumors. This type of surgery aims to remove the tumor and should preserve the function of the organ as much as possible. For example, in the case of a benign ovarian tumor, a teratoma, only the tumor can be removed during surgery, and the affected ovary can be retained. This allows the patient to have the tumor removed and still maintain the function of both ovaries. For example, if there are uterine fibroids that are indications for surgery, the fibroids should be removed as much as possible to preserve the reproductive function. 2. In principle, malignant tumors such as vulvar cancer, ovarian cancer, and endometrial cancer must be treated surgically; while the decision on whether to perform surgery is based on the clinical stage, whether surrounding organs have been invaded, and whether there is distant metastasis. |
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Author: Wang Aiping, Chief Physician, Peking Univ...