How to differentiate benign from malignant pelvic masses?

Pelvic mass is a common gynecological disease in women. It is usually caused by long-term neglect of sexual hygiene or long-term irregular sexual life. Pelvic masses are divided into benign and malignant, and need to be examined by medical equipment. Pelvic masses can easily lead to abdominal bulge, irregular menstruation, uterine diseases and other conditions.

Examination for a pelvic mass

1. General examination: Pay special attention to the breast, regional lymph nodes, abdominal distension, masses, ascites, and liver, spleen, and rectum.

2. Pelvic examination: Bimanual and triple examination of the uterus and adnexa, paying attention to the location, side, size, shape, border, texture, surface condition, mobility, tenderness, and rectouterine nodules of adnexal masses.

Emphasis should be placed on the differentiation of pelvic masses, and the following situations should be noted as malignant:

1. Reality.

2. Bilateral.

3. The tumor is irregular and has nodules on the surface.

4. Adhesion, fixation, and inactivity.

5. Ascites, especially bloody ascites.

6. Uterine and rectal fossa nodules.

7. Grows rapidly.

8. Cachexia. In the late stage, symptoms may include greater omentum masses, hepatosplenomegaly, and gastrointestinal obstruction.

Clinical manifestations

The main manifestation is a pelvic mass. Ovarian tumors are the most common, among which malignant tumors account for 3.7%, which is lower than the reported 10%. In addition to the history of pelvic mass, they are accompanied by lower abdominal distension, significantly elevated CA125, and B-ultrasound shows substantial or mixed mass. Endometriosis-like cysts account for the second largest proportion. About 20% of the cases have a history of dysmenorrhea, 1/3 of the cases have menstrual disorders, manifested by delayed menstruation and continuous bleeding. A small number of cases have no obvious symptoms, occasionally with lower abdominal distension, etc. B shows that most cases show no echo areas, some have mixed echoes, thick and irregular capsules, more on both sides, and slightly elevated CA125. Chronic pelvic inflammatory masses ranked third, accounting for 16.48%, most of which were chronic pelvic inflammatory diseases. The main reasons were that the acute symptoms were not serious and were ignored and not treated, and the acute phase was not completely cured and the disease was delayed.

Dietary conditioning for pelvic tumors

Patients with pelvic tumors should pay attention to diet and strengthen nutrition. During the fever period, it is advisable to eat light and easily digestible food. Patients with high fever and loss of body fluid can be given pear juice, apple juice, watermelon juice, etc. to drink, but it should not be iced. Patients with yellow, heavy and thick leucorrhea have damp-heat syndrome and should avoid fried, greasy and spicy foods. Patients with cold pain in the lower abdomen, fear of cold, and back pain belong to the cold stagnation and qi stagnation type. They can be given warm foods such as ginger soup, brown sugar water, and cinnamon pulp. People who suffer from fever in the five parts of their body and lower back pain mostly suffer from kidney yin deficiency. They can eat meat, eggs and other blood and living things to nourish and strengthen their body.