Patient's question:
Ovarian cyst examination on December 1st, results as follows:Uterine position: Posterior, size: 413539 MM, clear outline, uniform echoes, regular shape, cervical length: 23 MM, intrauterine device with its upper edge 12 MM from the outer edge of the fundus.
Endometrial thickness: 5 MM.
Adnexa:
Left: Ovary 3520 MM.
Right: Detected a mixed mass 724356 MM, with relatively clear boundaries, intact capsule, heterogeneous internal echoes, and visible septal bands, with decreased echoes posteriorly.
CDFI: Point-like blood flow is visible around the mass and within the septal bands.
Other: No significant abnormalities in the surrounding pelvic soft tissues were observed on ultrasound.
CDFI: Point-like blood flow is visible within the uterine wall.
MRI suggests: Mixed mass in the right adnexa area: Originating from the ovary (teratoma?).
What kind of help do you need: I
Doctor's answer:
It's not necessary to have a hysteroscopy, as your endometrium is fine. A teratoma requires laparoscopic surgery. Patients with ovarian teratomas should decide on surgical treatment. The scope of the surgery can include removal of the affected adnexa, excision of the affected teratoma, and/or biopsy of the contralateral ovary. The surgical approach can be either laparoscopic or open. Based on intraoperative findings, the benignity or malignancy of the teratoma can be preliminarily determined. If malignancy is suspected, it should be sent for frozen section pathology examination as soon as possible. For malignant teratomas, it is also important to strive for complete surgical resection.