Patient's question:
In 2011, a teratoma of about 1.9 cm was found during a physical examination, but it was not treated.On December 22, 2012, before pregnancy preparation, the menstrual period lasted five days. City Red Cross Ultrasound: The uterus was anteriorly positioned, with normal shape and size. The uterine wall had rough echoes, and the intracavitary echoes were acceptable, with an endometrial thickness of 4 mm. The cervix was 30 mm thick with acceptable echoes. The right ovary was 3433 mm, with a 2825 mm cystic echo inside. The left adnexal region showed a 4038 mm mixed echo mass. CDFI: No abnormal blood flow bundles were seen. The findings suggested: No clear mass was observed in the uterus. The cystic echo in the right adnexal region was considered: Retention; The mixed echo in the left adnexal region was considered: Possible teratoma, with a need for clinical follow-up.
On February 1, 2013, 17 days after the menstrual period, City No. 1 Hospital: The uterus was anteriorly positioned with a clear contour, smooth capsule, regular shape, and size of 5545 mm. The muscular layer had uniform echoes, and the endometrium was 7 mm thick with uniform echoes. Subserous fibroid of the anterior wall of the uterus: 4540 mm. Adnexa: The left adnexal region showed a mixed echo mass, approximately 3934 mm in size. The mass had a complete capsule and internal liquid dark areas, with an irregular mural strong echo mass showing a "dough sign." The left adnexal region was of normal size and shape with no abnormal echoes. Diagnosis: Possible teratoma in the left adnexal region, subserous fibroid of the uterus, and no abnormal ultrasound findings in the right adnexal region.
On February 4, 2013, 20 days after the menstrual period, Provincial No. 1 Hospital: Ultrasound findings: Combined transabdominal and transvaginal examination: The uterus was in an anterior position. The three diameters of the uterus were 47.1 mm41.8 mm38.6 mm. The endometrial thickness was 8.9 mm with uniform echoes. No intrauterine device was detected. The uterine wall echoes were uneven. The right anterior wall showed a slightly low echo with a boundary that was still clear, measuring 17 mm16 mm. The right wall showed a slightly low echo with a clear boundary, bulging outward, measuring 49.6 mm40.6 mm. The left wall showed a slightly low echo with a clear boundary, bulging outward, measuring 26.4 mm31.1 mm. The cervical echoes were still uniform, with a width of 38.5 mm. The vaginal echoes were uniform. The left adnexal region: Left ovary (L-ov): 40 mm36.2 mm, mainly anechoic with short linear strong echoes and irregular high echoes inside. The right adnexal region: Right ovary (R-ov): 45 mm34.3 mm, with anechoic areas measuring 26.6 mm25.2 mm and high echoes measuring 22.5 mm20.5 mm. The findings suggested: Multiple uterine fibroids (the larger one growing into the right broad ligament), enlarged ovaries with abnormal echoes (considering partial teratoma), combined with clinical findings.
Doctor's answer:
Hello, it is not recommended to carry a tumor during pregnancy in this case. Generally, surgery should be performed first, followed by pregnancy, to prevent the tumor from growing and affecting the development of the fetus. Pay attention to hygiene of the external genitalia to prevent infection. The occurrence of uterine fibroids not only affects the patient's health but also leads to the development of gynecological diseases. Therefore, it is best to have a routine check-up in the gynecology department of the hospital, identify the cause, and then receive symptomatic treatment. Pay attention to dietary regulation in daily life, consuming light and easily digestible foods, and avoid spicy, stimulating, and cold foods.