What is ovarian teratoma? Ovarian teratoma is a benign tumor originating from germ cells, accounting for 10% to 20% of all ovarian tumors and commonly occurring in young women. Having ovarian teratoma, especially in pregnant women, requires surgery.
Surgical procedure for ovarian teratoma
1. Surgical procedure for mature teratoma: The surgery for teratoma involves complete removal of the tumor. Both ovarian and testicular tumors undergo unilateral ovarian or testicular resection. For sacrococcygeal teratoma, it is important to remove the coccyx together to avoid residual pluripotent cells that may lead to tumor recurrence.
2. Surgical process for immature teratoma: During the surgical process for teratoma, it is generally completely removed because the boundary between teratoma and normal tissue is relatively clear. As for whether the tumor ruptured during surgery, it has an impact on the staging of malignant tumors. Immature teratoma belongs to malignant tumors. If it is completely removed during surgery, the staging is stage Ia, and if it has ruptured during surgery, the staging is stage Ic, which varies. If the lesion is unilateral and only a local malignancy, and is completely removed during surgery, no other treatment is required, only clinical observation is given, and regular B-ultrasound follow-up is required; If there is enlargement of the affected ovary, it should be surgically removed again and chemotherapy should be given if necessary.
3. Laparoscopic surgery for teratoma: Laparoscopic treatment is the best method for teratoma surgery, but the technical requirements are high. If the teratoma ruptures during the process of endoscopic removal, there is a possibility of peritoneal implantation and chemical peritonitis. In most cases, surgery for ovarian teratoma can preserve the normal ovarian tissue on the affected side (postmenopausal patients are recommended to have the affected side adnexa removed). If no abnormalities are found in the preoperative ultrasound examination and intraoperative exploration of the contralateral ovary, it is generally not necessary to dissect it. For teratoma in perimenopausal women, it is recommended to perform resection of the affected adnexa or uterus with bilateral adnexa.
Surgical cost for ovarian teratoma
If a patient is diagnosed with teratoma during hospital examination, it is necessary to strive for early surgical resection to avoid the malignant transformation of benign teratoma caused by delayed surgery, which may pose a more serious threat to their own life. While receiving surgical treatment, it is also important to prevent tumor infection, rupture, bleeding, and complications.
If the patient is diagnosed with a benign teratoma in the hospital, only surgical resection is needed. If the patient has a malignant teratoma, chemotherapy is required after surgery, which usually takes about 1-2 years. The cost of surgical resection of the teratoma is about 5000 yuan, depending on the level of the hospital.
Surgical time for ovarian teratoma
If it is a teratoma on the ovary, laparoscopy can be performed, and the surgery time is about half an hour. But teratoma requires intraoperative freezing to determine the nature of the tumor before deciding on the scope of surgery. The freezing time is about one hour, at least one and a half hours.
Postoperative sequelae of ovarian teratoma surgery
As long as you actively cooperate with the doctor's treatment, there will be no sequelae after the disease is cured. However, patients have a certain probability of recurrence in their future lives, and the probability of deterioration is about 2%. If the prognosis is poor, it may even threaten the patient's life safety.
After undergoing surgery for ovarian teratoma, patients should pay attention to rest and go to the hospital for follow-up at a certain time to observe the recovery after surgery, which can to some extent reduce the recurrence of ovarian teratoma.
