Treatment and diagnosis of ovarian tumors

Ovarian tumor is a common gynecological tumor disease, which mostly occurs in women of childbearing age. So, how to diagnose ovarian tumor? Below we will introduce it in detail, hoping to be helpful to you.

1. Symptoms: Abdominal discomfort. Medium-sized benign tumors or rapidly growing malignant tumors often cause abdominal distension and discomfort. Abdominal lumps. Benign tumors grow slowly and are not easy to be found. Patients often touch them accidentally. Malignant tumors grow quickly and are easy to detect. Abdominal pain. When benign tumors are complicated by pedicle torsion, rupture, bleeding, and infection, abdominal pain of varying degrees may occur. Uterine disorders and endocrine symptoms. When tumors produce steroid hormones or tumors destroy both ovaries, menstrual disorders or abnormal uterine bleeding may occur. Malignant tumors that infiltrate the surrounding areas or compress nerves may cause abdominal pain, back pain, or lower limb pain. Compression symptoms. Large tumors that fill the pelvic cavity may cause compression symptoms, such as frequent urination, difficulty urinating, constipation, shortness of breath, palpitations, etc.

2. Physical signs: Benign ovarian tumors are mostly unilateral and located next to the uterus. They are spherical, cystic or solid masses with smooth surfaces, mobility, and clear boundaries from the uterus. How to diagnose ovarian tumors? Malignant ovarian tumors are bilateral, solid or partially solid masses with uneven surfaces and relatively fixed masses. There may be scattered nodules in the rectouterine pouch.

3. Auxiliary examinations: Ultrasound examination and B-ultrasound imaging can detect the location, size, shape and nature of the mass. Radiological diagnosis. Laparoscopic examination can directly observe the source and general condition of the tumor, as well as the entire pelvic and abdominal cavity and diaphragm to determine the scope and stage of the lesion. Ascites can be aspirated for cytological examination, or suspicious tissue can be taken for pathological examination. However, huge masses or adhesions are contraindicated. Cytological examination, puncture of the abdomen or posterior fornix to extract ascites for cytological examination, is helpful for the diagnosis of ovarian malignant tumors.

Treatment measures: young patients should undergo oophorectomy or tumor removal on the affected side. If there are tumors on both ovaries, some normal ovarian tissue should be preserved. The specimen should be dissected before closing the abdomen. If there is any suspicion of malignancy, frozen sections should be sent for examination. Patients before and after menopause should undergo total hysterectomy and bilateral oophorectomy to prevent future problems.

The above content mainly introduces in detail how to diagnose ovarian tumors, hoping to help patients detect the disease early. If you have other questions, please come to our hospital for detailed consultation.