Will adnexal cysts go away on their own? The authoritative answer is this

Adnexal cysts are also called ovarian cysts. This type of cyst usually does not disappear on its own. If the cyst is small, conservative treatment can be adopted and no special treatment is required. However, if the cyst is large, surgical treatment may be required.

1. Adnexal cysts of 4.2×4.1cm do not need to be treated. Generally, they only need to be treated when they are larger than 5CM, but they will not disappear on their own.

Second, benign cysts such as follicular cysts are mostly below 5 cm and about 3 cm. At this time, you should observe for three months. If the follicular cyst shrinks or does not increase in about two months, it will disappear on its own after a period of time. In this case, no surgery is required.

Guidance:

However, if the cyst continues to grow (greater than 5 cm), surgical treatment is necessary. Therefore, after the discovery of ovarian cysts, further regular reexaminations should be conducted to determine whether they are functional or tumorous, so that different treatment methods can be adopted.

3. Ovarian cysts are a type of ovarian tumor in a broad sense. They can occur in people of all ages, but are most common in people aged 20 to 50 years old. Ovarian tumors are common tumors of the female reproductive system and have various properties and morphologies, namely: unilateral or bilateral, cystic or solid, benign or malignant, among which cystic ones are more common and have a certain proportion of malignant ones.

IV. Surgical treatment of benign ovarian cysts

(1) Ovarian cystectomy. This procedure is often used in young patients, especially premenopausal patients, while preserving normal ovarian tissue as much as possible.

(2) Salpingo-oophorectomy: Older patients (over 45 years old) or postmenopausal patients can undergo unilateral or bilateral salpingo-oophorectomy. It is worth noting that in the surgical treatment of larger ovarian cysts, the size of the incision should be ignored and complete resection is preferred to avoid breaking the patient's pulse and allowing the contents to spill into the abdominal cavity or incision. During the operation, attention should be paid to the rapid changes in abdominal pressure that cause changes in the patient's pulse, breathing, and blood pressure. When necessary, infusion or blood transfusion, oxygen supply should be accelerated, and early detection of acute gastric dilatation, paralytic intestinal obstruction, and the resulting water and electrolyte imbalance should be prevented.

5. Surgical treatment of malignant ovarian cysts

(1) Most patients are already in the advanced stage when they seek medical treatment, so every effort should be made to remove the primary cyst and any visible pelvic and abdominal metastases. Because malignant ovarian cysts are often adhered or infiltrated with the uterus and adnexa, and are closely attached to the pelvic peritoneum, the uterus and tumor are often removed in one piece along with the pelvic peritoneum in a rolling carpet style, such as omentectomy, partial intestinal resection, partial bladder and ureter resection.

(2) Consider placing a catheter in the abdominal cavity to facilitate the postoperative intraperitoneal injection of chemotherapy drugs.