Patient's question:
My wife was diagnosed with an ovarian cyst, which is malignant. The doctor advised us to have surgical treatment as soon as possible. If we delay, it will harm my wife's soul. I am very anxious about this. We have already admitted her to the hospital for further examination and verification, and the surgery can only be scheduled after the examination results are resolved.Doctor's answer:
1. Although preoperative diagnosis confirmed a benign ovarian tumor, careful examination should be conducted after laparotomy to further confirm the location and nature for appropriate management. If it is not possible to distinguish between benign and malignant during surgery, rapid frozen section pathology should be performed.2. When it is difficult to differentiate between benign and malignant preoperatively, meticulous visual inspection with the naked eye should be performed during surgery to make a preliminary judgment, and the contralateral ovary should be checked for normalcy. Grossly apparent benign tumors should be excised together. If the nature cannot be determined, rapid frozen section pathology should be performed.
3. The surgical incision should be sufficiently long. When extracting the tumor, avoid pushing to prevent it from rupturing and to prevent tumor cells from seeding in the abdominal cavity. If the tumor is too large and cannot be completely removed, aspiration can be performed first to expel fluid, reducing the tumor size before removal.