Ovarian tumors are divided into benign and malignant types. Benign ovarian tumors generally grow slowly and are divided into cystic and solid types. How can we check them? Pelvic examination is the most direct and convenient method. It does not require any special instruments, but requires the doctor to be proficient in pelvic examination techniques. Then you can do a B-ultrasound pelvic examination, which can tell whether there is an ovarian tumor, cystic or solid through the image. Generally, young women of childbearing age have more benign tumors. But it should be noted that the current general B-ultrasound physical examination often easily diagnoses some very small cysts as tumors, which are often some physiological follicles, corpus luteum cysts, etc., because when women are in the ovulation period. On the one hand, the incidence rate is high; on the other hand, people's health awareness has increased, and the popularity of instruments, especially B-ultrasound, has also increased. Generally, ovarian cancer is basically discovered in the late stage. Why? The two ovaries are deeply hidden in the pelvic cavity and are generally not palpable. Once they can be palpated, it often indicates that they have grown. Ovarian malignant tumors grow relatively fast, and they change from month to month. Once they can be discovered, they are usually not too early. However, in recent years, as people's health awareness has become stronger, they often go for pelvic examinations and B-ultrasounds, so some smaller lumps can be discovered. Therefore, malignant tumors, like benign tumors, can also be discovered by pelvic examinations and B-ultrasound examinations. In addition, there are some special tumor markers for malignant tumors, such as ovarian serous and mucinous epithelial tumors, CA125, CA199, CEA, etc. can be increased; tumors derived from ovarian germ cells can have an increase in the tumor marker α-FP; and some primary ovarian trophoblastic tumors usually have high HCG values. In general, it is difficult to detect malignant tumors in the early stage of ovarian examination. Because ovarian tumors are not easy to detect, and once they are found in the early stage, it is not easy to determine whether they are benign or malignant. We are not too afraid of benign tumors, but malignant tumors grow quickly, so there is a principle: as long as it can be confirmed that it is an ovarian tumor (neoplasm), surgery should be performed, and pathological identification should be performed during or after the operation to finally confirm whether it is benign or malignant. |
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