Cystic teratoma, when is the best time for surgery

Patient's question:

Hello, I found a dermoid cyst last month, about eight centimeters in size. The doctor suggested having surgery after my menstrual period. I'm almost done now, and I want to postpone the surgery by one month. Is that okay? I have a slight pain in my abdomen.

Doctor's answer:

When a teratoma is diagnosed, it is essential to undergo early surgical resection to prevent benign teratomas from becoming malignant due to delayed surgery. This approach also helps prevent tumor infection, rupture, bleeding, and the occurrence of complications. The key to teratoma surgery is to completely remove the tumor. For ovarian and testicular tumors, a unilateral oophorectomy or orchiectomy is performed. In cases of sacrococcygeal teratomas, it is crucial to remove the coccyx along with the tumor to avoid recurrence caused by the presence of residual pluripotent cells.

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