Ovarian Teratoma Treatment

Ovarian Teratoma Treatment

Ovarian teratoma treatment - Teratoma Ovarium, also called ovarian dermoid cysts, are strange, usually benign, ovarian tumors that usually contain a variety of tissues, including hair, teeth, bones, thyroid, etc. Dermoid cysts develop from totipotential germinative cells (primary oocytes) stored in the egg sac (ovary). Being totipotential, the cell can give rise to all the cellular commands necessary to form adult tissue and often recognizable structures such as hair, bones and sebaceous material (oily), nervous tissue and teeth.

Dermoid cysts may occur at any age, but the main age of detection is of childbearing age. The average age is 30. Ovarian teratoma treatment - Up to 15% of women with ovarian teratomas have in both ovaries. The dermoid cysts can have sizes ranging from one centimeter (less than half an inch) to 45 cm (about 17 inches) in diameter.

These cysts can cause the ovaries to rotate (twisting) and interfere with the blood supply. The higher the Dermoid cyst, the greater the risk of rupture with oily contents that can cause problems of adhesion, pain, etc. Although Most of these tumors are benign, the remaining fraction becomes malignant cancer. Removal of dermoid cysts is usually the treatment of choice. This can be done by laparotomy (open surgery) or laparoscopy (with scope). Torque (torsion) of the ovary by a cyst is an emergency and requires immediate surgery.

Ovarian Teratoma Treatment

Ovarian teratoma treatment - Adult cystic Teratomas in the ovary can be removed with a simple cystectomy instead of Salpingo-oophorectomy. Although malignant degeneration is very rare, the cyst should be removed as a whole and, if immature elements are found, the patient must undergo a standardized staging procedure.

The guidelines issued by the Royal College of Obstetricians and Gynecologists (RCOG) in the United Kingdom recommend that, when surgery is indicated, a laparoscopic approach is generally considered the gold standard for the management of all ovarian masses Benign. In Addition, bilateral laparoscopic Salpingo-oophorectomy is recommended to eliminate cystic teratomas in postmenopausal women with low risk of malignancy. See also: Teratoma Tumor Teeth

Patients should be adequately advised about the risks and benefits of laparoscopy and laparotomy. Sufficient Literature to support laparoscopy as an alternative approach that can be accepted in the resection. The benefits include a reduction in postoperative pain, blood loss, hospitalization, and total costs. Risks include long operating periods, increased operating room costs, and possible requirements for a second rapid staging procedure if an unexpected malignancy is revealed.

Ovarian teratoma treatment - Some studies have found an increase in the rate of intra-operative spills by laparoscopy, while others do not. Spills are associated with an increased risk of chemical peritonitis (estimated incidence of 0.2%) Increased risk of adhesions formation. The risk of recurrence (4%), as well as malignant degeneration (0.2-2%), should be discussed.

Although Ovarian cystic teratoma is the most common annexed mass occurring in premenopausal women, there are many challenges faced by gynecologists to decide the best surgical treatment. There is uncertainty, lack of consensus and variations in surgical practice. Ovarian teratoma treatment - The Laparoscopic approach is generally regarded as the gold standard for management. Oophorectomy should be a standard operation, except for younger women with a single small cyst. The risk of chemical peritonitis after content spills is very rare and, of course, can be overcome with comprehensive peritoneal lavage using hot fluids. There's a place for oversight in certain cases.

Ovarian Teratoma In Child

Although Teratomas are the most common histological subtype of ovarian germ cell tumors, the adequate treatment of this age group is still unclear. The amount of research dedicated specifically to mature and immature ovarian teratomas contributes to decision-making difficulties.

Therefore, we decided to retrospectively review our experience in the treatment of pediatric ovarian teratoma to evaluate epidemiology, current characteristics and diagnosis and surgical treatment of these lesions.

This study consisted of 58 patients. 50% of patients are between 9:15 years of age. Adult Teratomas were diagnosed in 55 (94.83%) Patients, while 3 (5.17%) Patients were treated with immature teratomas. Twenty-Eight (50.91%) Girls with adult teratoma had a laparotomy and 23 (41.82%) Performed laparoscopy as an initial surgical approach. Techniques of ovarian tissue economics (preservation of the tissue of the affected gonadal ovary) were only applied in 11.11% of the patients operated in the first period of the study and increased to 40.54% in the second half of our study. The level of gonadal resection is not related to the size of the lesion. Bilateral Lesions were found in 8 patients with adult teratoma. All girls with immature teratomas were submitted to formal laparotomy. Two patients had stage III and one stage IV disease. They suffer at least resection of the affected gonad. Adjunct chemotherapy is administered to all girls with immature teratomas after surgery.

Under certain conditions, surgery that saves the ovary can be successfully applied in children with adult teratoma. Ovarian teratoma treatment - Laparotomy is a treatment of choice in large numbers, suspected of malignancy and if a surgical stage is necessary. High-quality prospective institutional Studies are needed to obtain objective insights on biological factors and prognosis of teratomas in children.