Surgical treatment of teratoma is the first choice

There are many different surgical procedures for teratoma. Different surgical procedures are performed according to the patient's disease course and condition. The procedures of different surgical methods are not exactly the same. This issue of expert opinions will explain in detail that surgical treatment of teratoma is the first choice to help you understand the surgical treatment of teratoma. Let's take a detailed look together.

Most teratomas are exophytic or have obvious palpable masses, and early diagnosis can often be achieved based on clinical manifestations. Careful abdominal physical examination and rectal digital examination are very necessary for the examination of abdominal, pelvic, and occult sacrococcygeal teratomas; X-ray films of the tumor site can reveal abnormal calcifications of bones, teeth, etc. in the tumor to confirm the teratoma, and most of them are mature teratomas; gastrointestinal barium meals, barium enema, and intravenous pyelography can understand the compression and displacement of the gastrointestinal tract or organs such as the kidneys, ureters, and bladder in the corresponding parts. CT and MRI examinations should be performed on teratomas that grow rapidly and have a wide range of infiltration to clarify the range of tumor infiltration and its adjacent relationship with important blood vessels and spinal nerves.

Laparoscopic surgery is the best method for teratoma surgery, but it requires high technical skills. If the teratoma ruptures during endoscopic removal, there is a possibility of peritoneal implantation and chemical peritonitis. In most cases, ovarian teratoma surgery can preserve normal ovarian tissue on the affected side (it is recommended to remove the affected side adnexa for menopausal patients). If the contralateral ovary is normal during preoperative B-ultrasound examination and intraoperative exploration, it is not dissected in principle. For teratomas in perimenopausal women, it is recommended to remove the affected side adnexa or the uterus plus bilateral adnexa. If a teratoma is found after pregnancy, you can wait until delivery to choose a cesarean section and tumor removal at the same time, but regular examinations should be conducted. If the ovarian tumor pedicle is torsion, emergency surgery is required, or surgical treatment can be chosen in the second trimester of pregnancy.