Clinical diagnosis of ovarian tumors

In recent years, cancer has gradually come to people, endangering people's health and seriously affecting the daily life of patients. If people suffer from ovarian malignant tumors, it is very difficult, causing patients to suffer both physically and mentally. So, what are the methods for identifying ovarian malignant tumors?

Ovarian malignant tumor is one of the common malignant tumors of female reproductive organs, and its incidence rate ranks third after cervical cancer and uterine body cancer. However, the mortality rate of ovarian epithelial cancer ranks first among all kinds of gynecological tumors, posing a serious threat to women's lives. Due to the complexity of the embryonic development, tissue anatomy and endocrine function of the ovaries, and the atypical early symptoms, it is quite difficult to distinguish the tissue type and benign and malignant nature of ovarian tumors before surgery. Among ovarian malignant tumors, epithelial carcinoma is the most common, followed by malignant germ cell tumors. During surgery, only 30% of patients with ovarian epithelial cancer were found to have tumors confined to the ovaries, and most of them had spread to the uterus, bilateral adnexa, greater omentum and pelvic organs, so early diagnosis is a major problem.

Differentiation of ovarian malignant tumors:

1. Pelvic endometriosis The adhesion ovarian mass and rectouterine pouch nodules formed by this disease are very similar to the symptoms of ovarian cancer, but this disease is often diagnosed in patients of childbearing age, with progressive dysmenorrhea, aggravated with the menstrual cycle, and infertility. If necessary, abdominal cavity exploration or laparotomy is performed to confirm the diagnosis.

2. Chronic urinary retention often has symptoms such as difficulty urinating or frequent urination. The mass is located in the middle of the lower abdomen with unclear boundaries. The mass disappears quickly after catheterization. It is easy to distinguish between the two using B-ultrasound.

3. Adnexal tuberculosis or peritoneal tuberculosis often have a history of tuberculosis, and their clinical manifestations are also different. Adnexal tuberculosis has symptoms such as weight loss, low fever, night sweats, flushed face, postmenstrual oligomenorrhea, and amenorrhea. When peritoneal tuberculosis has ascites, an adhesion mass appears, which is characterized by a high position. B-ultrasound, X-ray gastrointestinal angiography, etc. can help confirm the diagnosis and facilitate differentiation.

4. Pelvic inflammatory mass Inflammation can form a substantial, irregular fixed mass, or parauterine connective tissue inflammation with inflammatory infiltration reaching the pelvic wall, similar to the symptoms of ovarian cancer. Patients with pelvic inflammatory mass often have a history of artificial abortion, IUD insertion, IUD removal, postpartum infection, etc. Pelvic inflammatory disease is mainly manifested by fever, lower abdominal pain, long course of disease, etc. Bimanual examination shows obvious tenderness, and anti-inflammatory treatment is used to reduce the mass. Cytological examination of the mass should be performed when necessary.

5. Ascites caused by cirrhosis is not difficult to identify based on the symptoms of cirrhosis, liver function test results, the presence of masses in pelvic examination, the characteristics of ascites, etc. Auxiliary examinations such as B-ultrasound and CT can be performed when necessary.

6. Benign ovarian tumors Benign tumors have a relatively long course, with the tumor gradually increasing in size, often occurring on one side, with good mobility, soft texture, smooth surface, and intact capsule without defects. This type of tumor is relatively common, and the patient is generally in good condition. On the contrary, malignant ovarian cancer has a short course, with the tumor growing faster, poor mobility, hard texture, and a rough surface with cracks. After triple examination, papillary nodules can be palpated in the tumor, and it is often accompanied by edema of the whole body or lower limbs, cachexia, bloody abdomen, etc. If necessary, laparoscopy and laparotomy can be performed to further clarify the diagnosis.

By reading the above content, we have learned about the identification methods of ovarian malignant tumors. Only through these identification methods can doctors confirm that the patient is really suffering from ovarian malignant tumors, and develop effective treatment plans for the patients, work hard for the patients' lives and health, and enable the patients to recover as soon as possible.