Tumors Of The Female Reproductive System
With cancer being an area of huge concern for individuals it is very important that people are well informed about these conditions. At least about come of the very common conditions such as breast cancer, prostate cancer and so on. Being well informed will result in early presentation making sure that the patients have the best chance of fighting the disease. Because once these cancers are well spread, then most forms of treatment are rendered useless.
The most common solid tumors in young women are cystic teratomas (known more commonly as dermoid cysts), which typically contain a variety of tissues including hair, teeth and bone. Benign ovarian tumors are often asymptomatic and may present coincidentally, for example when an abdominal radiograph reveals the appearance of a tooth in the abdomen or pelvis. Conversely, they may present to a gynecologist with pain, abdominal swelling and pressure effects. The pain may be the result of torsion or bleeding inside the cysts.
Ovarian cyst treatment Singapore will depend, to some extent, on the age of the woman and the characteristics of the cyst. In older women, a conservative approach is reasonable only if the risks of malignancy are low (see Ovarian cancer). In younger women (<35 years), the cyst can be followed by serial ultrasound scanning as many will regress. Hemorrhagic corpus luteal cysts, for example, will often shrink after three to four months’ treatment with a COC. If there is uncontrollable pain, hemodynamic collapse or a suspicion of torsion, or the cyst does not regress, then laparoscopic ovarian cystectomy with conservation of ovarian tissue is the treatment of choice. As the vast majority of oocytes lie within 5 mm of the surface of the ovary, a carefully carried out cystectomy can leave a normally functioning ovary.
These masses are usually detected incidentally but may be suggested by symptoms and signs. When one is detected you have to do a pregnancy test to exclude an ectopic pregnancy. A transvaginal ultrasonography can usually confirm the diagnosis. If results are indeterminate, magnetic resonance imaging or computed tomography scanning may help. Masses with radiographic characteristics of cancer (e.g. cystic and solid components, surface excrescences, multilocular appearance, irregular shape) require removal. Tumor markers may help in the diagnosis of specific tumors. In women of reproductive age, simple, thin-walled cystic adnexal masses of 5–8 cm (usually follicular) without characteristics of cancer do not require further investigation unless they persist for more than three menstrual cycles. Many of these cysts resolve without treatment; serial ultrasonography is carried out to document resolution. Cyst removal (ovarian cystectomy) via laparoscopy or laparotomy may be necessary for cysts ≥8 cm, cysts that persist for more than three menstrual cycles and hemorrhagic corpus luteum cysts with signs of peritonitis.