How big should the surgery be for an ovarian teratoma?

Patient's question:

On April 28, 2015, an ultrasound revealed a 4 cm x 3.8 cm x 2.7 cm right ovarian teratoma. I have had lower right abdominal pain for over a year, and in the past six months, my periods have come 3 to 6 days earlier than usual. This was diagnosed at a hospital in Shanghai.

Doctor's answer:

Teratomas are mostly benign tumors. If the tumor is smaller than 2 or 3 centimeters, it is recommended to delay surgery and monitor it. If the tumor is 3 centimeters or larger, surgery is necessary. Teratomas are not very homogeneous, with uneven density, making them prone to torsion. We recommend surgery for tumors 3 centimeters or larger. If the tumor is smaller than 3 centimeters, it is too small for surgery, and locating it would be troublesome. Additionally, it would cause significant damage to the ovary, and in some cases, it may not even be found. In such situations, it is advised to continue monitoring with regular follow-ups. If the tumor grows, surgery is performed; if it does not grow, it is observed.

📌 Related Posts