Sunday, March 9, 2008
Ovarian tumors which can cause complications
1, torsion for common gynecological acute abdomen. About 10% of ovarian tumors with reverse. Occur in the pedicel of long, medium, activity, focus attention on the side of the tumor (eg, dermoid cyst). Patients with sudden changes to the same position or rotation directions, pregnancy or postpartum uterine position changes are prone to cause torsion. Ovarian tumors in the pelvis by pedicle funnel ligament, ovary and fallopian tube inherent ligament composition. Acute reverse, the first venous obstruction, tumor height of congestive or burst blood vessels, resulting in a sharp increase of the tumor, Intratumoral hemorrhage, finally blocked artery, tumor necrosis into purpuric easily rupture and secondary infection. A typical symptom is sudden side of the lower abdomen pain, often accompanied by nausea, vomiting, and even shock, the Department of peritoneal traction cutter narrow lead. Gynecological examinations palpable tension is greater and tenderness to pedicel of the most obvious location, opened a muscle tension. Can sometimes reverse the natural reduction, abdominal pain ease. Torsion one case confirmed that the trip should laparotomy. When in the bottom of the clamp tegen to reverse the tumor and tumor resection pedicle together, the former must not reply to clamp reversed, prevent shedding of dangerous embolization. 2, ruptured about 3% of the ovarian tumor ruptured. Spontaneous rupture of a trauma or two. Traumatic rupture often heavily on the abdomen, childbirth, sexual intercourse, gynecological examinations and puncture caused. Spontaneous rupture due to rapid tumor growth caused the majority of tumor-infiltrating growth to break the wall. Symptoms depend on the severity of the breakdown mouth, the allantoic fluid into the abdominal cavity of the nature and quantity. Simple small cyst or serous cystadenoma rupture, the patient only mild flu abdominal pain; Large cyst or mature teratoma, the rupture, often caused severe abdominal pain, nausea and vomiting, sometimes leading to internal bleeding, shock and peritonitis. Gynecological examination abdominal tenderness, muscular tension, or ascites, the original mass to find narrowing or palpable mass market shriveled. Where suspected tumor rupture should immediately laparotomy. Surgery should net allantoic fluid absorption, and smear the cytological examination, cleansing abdominal and pelvic resection specimens sent to histopathological examination. You need to break any edge malignant. 3, a rare infection, caused by cancer or reversed after the rupture, Infection can also come from neighboring organs such as appendiceal abscess Tienam proliferation. The clinical manifestations of fever, abdominal pain, tenderness and abdominal mass, muscular tension and increased white blood cell count, etc.. Treatment with antibiotics should be, then surgical removal of the tumor. If short-term infection control, to immediate surgery. 4, malignant ovarian malignant tumors can occur, malignant early asymptomatic, early detection is not easy. If found rapid tumor growth, especially bilateral, suspected to be malignant. If there ascites, it is already late. Therefore, the diagnosis of ovarian cancer should be performed as soon as possible.
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