Examination items required for ovarian tumors

The incidence rate of ovarian tumors is indeed very high, and many women have suffered great harm to their bodies since they developed ovarian tumors. Ovarian tumors require some examinations. So what kind of examinations should be done? Only necessary examinations are acceptable. The following is a detailed introduction.

1. Laboratory examination

1. Ascites cytology examination: Puncture of the lower abdomen iliac fossa. If there is little ascites, puncture of the posterior fornix can be performed to draw ascites to check for cancer cells.

2. Tumor marker determination:

(1) CA125: It has important reference value for diagnosing epithelial ovarian cancer, especially serous cystadenocarcinoma, followed by endometrioid carcinoma. CA125 values ​​are also sometimes elevated in some non-malignant gynecological diseases such as acute pelvic inflammatory disease, endometriosis, pelvic and abdominal tuberculosis, ovarian cysts, uterine fibroids and some non-gynecological diseases.

3. Non-ovarian tumor-specific indicators:

Sex hormones: Granulosa cell tumors and thecomas can produce higher levels of estrogen; when luteinized, they can also secrete testosterone. Serous, myxoma or fibroepithelioma can sometimes secrete a certain amount of estrogen.

4. Flow cytometry cell DNA determination: Flow cytometry (Fcm) method analyzes tumor DNA content by flow cytometry. The DNA content of ovarian malignant tumors is related to the histological classification, grade, clinical stage, recurrence and survival rate of the tumor.

2. Imaging Examination

Gastroscopy and colonoscopy: to identify ovarian metastases from primary gastrointestinal cancer.

Intravenous pyelography: to understand the secretion and excretion functions of the kidneys, urinary tract compression and obstruction symptoms.

Radioimmunoassay: Radionuclide-labeled antibodies are used as tumor-positive imaging agents to perform tumor localization diagnosis.

Laparoscopic examination: For pelvic masses that are difficult to diagnose clinically, laparoscopic biopsy is performed in patients with ascites, and ascites is taken for pathological and cytological examinations to diagnose and perform preliminary clinical staging.

There are still many necessary examinations for ovarian tumors, such as the above-mentioned laboratory tests and some imaging examinations are very important. At present, if an ovarian tumor is diagnosed, you need to go to the hospital for a comprehensive examination. Only in this way can you better treat this disease.