What are the methods for treating female ovarian tumors

The treatment of ovarian tumors is a very troublesome problem for women who are suffering from it for the first time, because there are many treatments for ovarian tumors. So let's take a look at how gynecologists recommend the treatment of ovarian tumors!

1. Benign tumors In principle, once diagnosed, benign gynecological tumors should be promptly operated on (except for uterine fibroids). Surgery can almost always achieve good results and the patient can recover quickly. However, the choice of surgical method is different from that of malignant tumors. This type of surgery aims to remove the tumor and should try to preserve the function of the organ. For example, for a benign ovarian tumor teratoma, only the tumor can be removed during surgery, and the affected ovary can be preserved, so that the patient can remove the tumor and still maintain the function of both ovaries.

2. For malignant tumors such as vulvar cancer, ovarian cancer, and endometrial cancer, in principle, surgical treatment is required; while for cervical cancer and vaginal cancer, whether surgery can be performed depends on their clinical stage, whether they have invaded surrounding organs, and whether there is distant metastasis.

Surgical treatment of malignant ovarian tumors:

1. Staging surgery. Early ovarian cancer should undergo comprehensive staging surgery or restaging surgery to clarify the stage, which is of great significance for judging prognosis and guiding treatment.

2. Cytoreductive surgery. It is mainly suitable for advanced ovarian cancer. Ideal cytoreductive surgery can significantly improve the patient's prognosis. The surgical procedure is the same as comprehensive staging surgery. The main purpose of the surgery is to do the best to remove the primary and metastatic lesions of ovarian cancer, so that the diameter of the residual tumor is less than 2 cm (the minimum requirement for ideal cytoreductive surgery), and to remove part of the intestinal tract if necessary.

3. Surgery to preserve fertility. About 7% of epithelial ovarian cancer patients are younger than 35 years old. Traditional treatments believe that total hysterectomy and bilateral salpingo-oophorectomy should be performed. However, if possible, young patients always hope to preserve their fertility, maintain normal endocrine function and a good self-image. Traditionally, the indications for surgery to preserve fertility are: ① Young patients with fertility requirements; ② Stage Ia; ③ Well-differentiated (G1) cells, non-clear cell carcinoma; ④ The contralateral ovary has a normal appearance and negative anatomical examination; ⑤ There are conditions for follow-up. If the patient can fully understand and agree, the indications for this surgery can be appropriately expanded.