[Nearly caused a disaster] Teratoma?! A 19-year-old girl’s personal experience...

Girl: "Doctor, my stomach hurts..."

Doctor: "According to the results of the color Doppler ultrasound examination, the tumor is very likely to be a teratoma, and there is a possibility of twisting. You must be hospitalized immediately for further examination and treatment."

Mother: "I see she's feeling much better after taking painkillers. It should be dysmenorrhea. No need to check..."

Many times

Our self-righteous *"minor illness"*

Often leads to disaster!

The mother and daughter who refused treatment came to the hospital again: "Doctor, she has her period, but she is still in severe pain!" This time they chose to be hospitalized immediately, and they were diagnosed with "teratoma" (bilateral).

Unfortunately, Xiaoli's right adnexal region had twisted and had been twisted for too long, causing bleeding and necrosis in the relevant area. The doctor had no choice but to perform a laparoscopic right adnexectomy and a left ovarian teratoma removal. Xiaoli's crisis was resolved, but she had to pay the price of having her right adnexectomy removed because she missed the best time for treatment.

When hearing the word "teratoma", many people think it is related to pregnancy. In fact, it is not the case. Teratoma is one of the common gynecological tumors. It is a tumor of the reproductive cells of the ovary and has nothing to do with the embryo or pregnancy.

It is generally divided into mature teratoma and immature teratoma. Mature teratoma is a benign tumor that can occur at any age. It is full of oil and hair, and sometimes teeth or bones can be seen. Immature teratoma is a malignant tumor that is more common in young patients and is mainly composed of primitive nerve tissue.

Teratoma pedicle torsion is a common gynecological acute abdomen, which often occurs when the body position changes suddenly. After the tumor is acutely torsioned, venous return is blocked, and congestion or vascular rupture in the tumor causes intratumoral bleeding, resulting in rapid enlargement of the tumor.

If arterial blood flow is blocked, the tumor may necrotize, rupture, and become infected due to ischemia. The typical symptom of tumor pedicle torsion is sudden severe pain in one side of the lower abdomen after a change in body position, often accompanied by nausea, vomiting, and even coma.

Therefore , once a teratoma is diagnosed, surgical treatment is required as soon as possible . Even if torsion occurs, the teratoma can be removed after timely reduction.

If the torsion is not treated in time, it will affect the blood supply of the fallopian tube and ovary, and tissue necrosis is very likely to occur, and the only option is to remove the lesion. The ovary is the only organ in women that secretes estrogen and progesterone and maintains female characteristics, so the consequences can be imagined.

In recent years, with the application and popularization of laparoscopic minimally invasive surgery, the related surgery causes very little trauma (only a few small operating holes) and recovery is quick, so people who love beauty can also dispel their concerns.

Finally, Dr. Peng Chunjie, a gynecologist at Beichen Hospital, reminds you that ovarian teratoma can occur at any age . If a girl suddenly experiences lower abdominal pain, do not automatically rule out gynecological diseases because of her age and delay diagnosis and treatment. Do not be prejudiced against girls treating gynecological diseases. I hope every girl can grow up healthy and happy!