The patient is 35 years old and found that ovarian cysts have been about 4 years. Two years ago, he suspected that it was an endometrium abnormal cyst. The doctor suggested performing surgery.There was no mood to perform surgery, so he dragged it like this, dragged until now, got married, and finally had a new boyfriend. After a few months of marriage, he was going to perform surgery.
The outpatient clinic did not look for me. Other doctors have seen her, the cyst has grown to 10cm, the color Doppler ultrasound is like an endometrium abnormal level.Symptom cysts, it is recommended to come to me for puncture and curing therapy. I generally dont like to do surgery without seeing the clinic.Give Yijia. "
Be careful, I said that I have to make an assessment by myself. Although her tumor marker CA125 is normal, the ultrasonic doctor also reports that it is the possibility of a clever capsule, but I amYou still have to watch the ultrasound yourself.It doesnt matter at first glance. There is more than 2cm real part behind the cyst. Although there is no blood flow signal, I said that it is still inappropriate to be puncture and I need to get the pathology.-> Examine.
We performed a laparoscopic detection surgery for her underneath.There was a rupture when the cyst was peeled. When there were chocolate -like liquid flowing out, when the cyst was removed outside the abdominal cavity, I opened it. There was a real part of the cyst., Hurry up and send frozen fast slices.
The freezing pathological returns during the operation are ovarian cancer.
At this time, the patient was anesthetized, and the operation room was waiting for her newly married husband.We can only discuss with her surgery authorized client.Theoretically, ovarian cancer can only be considered when it is very early, and it must be a non -malignant degree of malignant. Considering that the cysts have been ruptured when the cysts are peeled, at least IC stage. My suggestion is my suggestion. My suggestionIf you consider life, you still need to be treated with radical surgery, that is, to remove ovarian and uterus on both sides, but you will lose your fertility function.There is no her parents outside the door. Only her husband is here. The young man considers for a while and said, "Thats not okay, you still have to keep the fertility function." The words required to retain the uterus and the other ovary.Human opinions removed the ovarian, large omentum, appendix, lymph nodes on one side, leaving the uterus, opposite ovaries and fallopian tubes.
The formal pathological report after surgery is ovarian transparent cell carcinoma. This cancer is usually seen in the endometriosis. I still recommend thatPatients consider removing the ovarian and uterus on the opposite side. After all, it is not a case of ovarian cancer that can be retained. She hesitated again and again. She still did not accept my suggestion. It is estimated that she still wants a child.
Chemotherapy is in progress. I look forward to her no recurrence. Once recurrence, there is basically no hope.
What choices would you do between life and children?
1. The endometriosis cyst, there is a chance of a 1%evil change. When it is found to increase rapidly in the short term, when the CA125 soaring, the internal ulfoly indicates that there is a real part,Need to be alert to the possibility of viciousness;
2. 2. The cyst puncture is not suitable for all patients, and it needs to be fully evaluated before surgery;Ovarian cancer; 4. Ovarian cancer should retain the fertility function limited to particularly early (IA and IB stage), and tumors with good tissue types.Gong Xiaoming well-known gynecological expert
52 years old| Doctor of Medicine of Beijing Union Medical College
Good, Uterine prolapse, urinary incontinence treatment.In terms of therapeutic technologies of uterine fibroids and uterine adenomy muscles, it is the first to carry out various ablation technologies in the world (magnetic wave ablation, microwave ablation, radio frequency ablation), single -hole laparoscopic technology and hysteroscopy to treat uterine fibroid technologyIt is also the leading level in the world.In the field of gynecological urology, it is the first to apply laser technology in China for the treatment of urinary incontinence, uterine prolapse, and vaginal relaxation.
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