Patient's question:
I had a cesarean section last October. At that time, I had a 5cm multilocular mucinous adenoma in my left ovary, so my left ovary was removed during the cesarean section. However, in November of this year, a liquid dark area appeared in my right ovary. I'm very afraid it might be another mucinous adenoma. I tested alpha-fetoprotein (AFP) (2.90), carcinoembryonic antigen (CEA) (0.98), and carbohydrate antigen CA125 (13.07), all of which were within the reference range. Is there any way to determine the characteristics of the ovarian cyst? If it is, will my right ovary have to be removed again?Doctor's answer:
Conservative surgery for ovarian cysts: Includes open surgery and laparoscopic surgery. The scope of the surgery includes separating the patient's pelvic adhesions, electrocautery or resection of pelvic lesions, uterine suspension, cystectomy of ovarian endometriomas, and removal of uterine fibroids if present. For patients with severe dysmenorrhea, it is often recommended to perform presacral neurectomy.Semi-conservative surgery for ovarian cysts: Primarily involves removing the uterus and endometriotic lesions while preserving ovarian function. It is suitable for patients under 45 who do not have fertility requirements, or those with widely spread lesions that cannot preserve fertility, or those with concurrent uterine fibroids or adenomyosis.