Malignant ovarian tumors in the differential diagnosis

(1), endometriosis : Pelvic endometriosis formation of adhesions and rectal tumor nodules CULDOSAC uterine and ovarian cancer is difficult to identify. The former often sexual dysmenorrhea, menorrhagia, by the former, such as vaginal bleeding. Probation progestin therapy can help to distinguish B-examination, laparoscopy is an effective method in the diagnosis, sometimes necessary laparotomy can be diagnosed. (2), pelvic connective tissue Yan : sometimes difficult to distinguish between ovarian cancer. The former will be abortion or postpartum infection history, the performance of fever, pain, gynecological examinations Annex edema, tenderness, Flake to mass lesions. With antibiotics after symptoms ease, block-narrow. If symptoms after the treatment, no signs of improvement, block objects increased, consideration should be given to ovarian cancer. Ultrasound imaging can identify. (3), tuberculous peritonitis : often associated with ascites, basins, intraperitoneal adhesions mass formation, Ovarian cancer is sometimes more difficult to identify. The former is mostly in young, childless women, many of tuberculosis history, systemic symptoms are weight loss, fatigue, fever, night sweating, loss of appetite, Menstrual scarce or amenorrhea. Gynecological examination, tumor location high, irregular in shape, ill-defined, fixed moves. Spontaneous delivery at dark tone voiced boundaries unclear. B-mode ultrasound imaging, X-ray inspection more gastrointestinal diagnosis can help, if necessary laparotomy confirmed. (4), other than reproductive tract tumors : ovarian cancer and the need retroperitoneal tumor, or sigmoid colon rectal cancer and other identification. Retroperitoneal tumor fixed fixed location so that the lower uterine or rectal displacement, colorectal cancer is more typical gastrointestinal symptoms, ultrasound imaging. Barium enema, intravenous pyelography and other help to identify. (5), metastatic ovarian cancer : ovarian cancer is not easy to identify. If the annex areas palpable bilateral, medium, kidney-shaped, the solid mass should be suspected metastatic ovarian tumor. If patients have gastrointestinal symptoms, gastrointestinal cancer, breast cancer history, the basic diagnosis can be established. However, the majority of cases are not the primary tumor, the positive history.