Information in the diagnosis of ovarian tumors
Information in the diagnosis of ovarian tumors
Http://www.39.net Time: April 17, 2006
Ovarian cancer is common gynecologic cancer, female genital tumors about 1 / 3. Can occur at any age, The incidence of malignant ovarian tumors Although Habitat female genital mutilation, the third cancer, as early diagnosis difficult, often found at the already advanced, but its mortality rate for the first gynecologic malignancies.
[Diagnosis]
1, symptoms
(1) abdominal discomfort or medium-sized benign tumor rapid growth of malignant tumors and often cause stomach discomfort.
(2) abdominal mass benign swelling growth slow and difficult to be discovered, patients are often inadvertently touched. Malignant tumors grow fast, easily detected.
(3) benign abdominal pain with torsion and rupture, bleeding, infection, there may be varying degrees of pain. If the surrounding malignant tumor invasion, oppression or nerve can cause abdominal pain, low back pain or leg pain.
(4) larger earned oppression symptoms of pelvic tumors can cause symptoms of oppression, such as frequency, dysuria, constipation, dyspnea, such as palpitations.
(5) uterine disorders and endocrine tumors produce symptoms of steroid hormones or damage bilateral ovarian tumors, can cause menstrual disorders, or abnormal uterine bleeding. Granulosa cell tumor, theca cell tumor can produce too much estrogen caused precocious puberty cols = 1 & target = _blank> precocious puberty, or postmenopausal bleeding. Testicular tumor cells can produce excessive androgen caused masculine performance.
(6) If the performance of metastasis from lung metastasis hemoptysis, and dyspnea; intestinal transfer from feces change blood in the stool, such as intestinal obstruction.
2, benign ovarian tumors and more signs for the unilateral, in the next uterus. A spherical, solid or cystic mass, surface smoothness, activities, and the uterus-defined. Bilateral malignant ovarian tumors, or is it part of the rugged surface, a fixed mass in the uterus Xianao rectum can be scattered in nature nodules.
Information in the diagnosis of ovarian tumors
Http://www.39.net Time: April 17, 2006
3, auxiliary
(1) B-ultrasound imaging can detect tumor location, size, shape and nature.
(2) diagnostic radiology or barium contrast barium enema, air contrast can understand whether digestive tract tumors. CT examination can be carried out on the pelvic tumor localization and characterization, and understanding of the liver, lung and retroperitoneal lymph node metastasis. Pelvic lymph node imaging ovarian tumors milk can be judged without lymph node metastasis.
(3) laparoscopy can be directly observed tumor sources and generally, as well as the entire basin and transverse abdominal cavity filters to determine the scope and stage lesions. Ascites and lessons for cytology, or from suspicious organizations for pathological examination. However, the enormous mass or tumor adhesion taboo.
(4) cytology abdominal puncture or posterior vaginal fornix culdocentesis for cytology, contribute to the diagnosis of ovarian cancer.
(5) tumor markers inspection embryonic carcinoma, endodermal sinus cancer patients in the alpha-fetoprotein (aFP) concentration, aFP more than 20 μ g / L for the positive. Β-hCG Determination of primary ovarian choriocarcinoma and ovarian germ cells mixed with choriocarcinoma components have diagnostic value. Cancer antigen CA125 radioimmunoassay (CA125 greater than 65 U / ml positive) on the epithelial carcinoma higher diagnostic significance. Lactate dehydrogenase (LDH) clones of cells help in the diagnosis.
(6) found that before puberty laparotomy ovarian increased postmenopausal ovarian still palpable; women of childbearing age have ovarian cystic tumor, larger than 6 cm in diameter were observed 3 to 6 months are not reduced or increased large diameter solid tumors in the 4 cm; pregnant early detection of ovarian tumor, four months pregnant is not reduced, indications are laparotomy.
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