Dermoid ovarian cyst: causes, symptoms, how to treat
In most cases, dermoid cyst of the ovary is seen in those patients who have ovarian cysts. It is a distinctive benign neoplasm that occurs on the tissues of the body. The dermoid may appear at any age, and its slow growth can occur in the hormonal disruptions that occur on the background of pregnancy, menopause or adolescence changes in the body. Most often, this cyst is observed in the vicinity of the right or left ovary. Despite the fact that this entity is benign, it can develop into cancer. To prevent the similar scenario, it is better to decide on surgical treatment. Usually removal of the cyst is through surgery called laparoscopy.
Causes of dermoid cyst
The reasons that occurs dermoid cyst, has long been studied, and this phenomenon is associated with nothing else, as an embryonic rudiment, which are formed in the body various tissues. These are the beginnings of almost every woman in the tissues of the ovary. In connection with pathological disorders occurs rather compact cyst average size, which is fixed on the leg. Such a tumor is often located on the front of the uterus and it consists mainly of:
- skin scales and tissue;
- particles of the muscle, bone, adipose and fibrous tissue;
- particles of epithelium of bronchus, thyroid tissue and particles of the salivary glands.
On the form there are round or oval tumors, and the size of their diameter reaches 15 cm.
A distinctive feature of dermoid cyst of the right or left ovary is its mobility, which occurs due to the foot and has no connection with the other inner covers.
Also the reasons why there is this tumor may be injury to the stomach or a strong fall.
Symptoms of occurrence of teratomas
At the beginning of the disease dermoid ovarian cyst does not manifest itself, so no symptoms are observed. This complicates the situation as to detect and diagnose the disease is possible only with the help of ultrasound or gynaecological examination. And the sooner this is discovered the problem, the better for women.
The symptoms are the occurrence of cysts right or left ovary:
There may also be complications, the causes of which lie in the torsion leg, cyst rupture, abscess or atrophy affected the right or left appendage, and the conversion of tumor into malignant tissue.
Such problems occur in the result of the fact that a large cyst presses on the bladder and intestines. The most painful manifestations are in a situation when twisted stem dermoid, then the woman experiences severe pain, nausea, palpitations.
The consequences of the disease
- Recurrence of dermoid cyst, if the removal was made in part.
- The formation of endometriosis.
- Disruptions in hormonal sphere.
- Possible infertility.
In some situations, grown and matured, the cyst may develop into squamous cell carcinoma. And in this case you will need additional treatment and additional chemotherapy.
Dermoid ovarian cyst is not subject to medical therapy. Moreover, dermoid ovarian cyst will not resolve on their own. The only effective treatment is surgery. In this situation, is usually performed laparoscopy, through which is performed the cyst removal of the right or left ovary.
Before surgery will be scheduled, studied and investigated the following points:
- the age of the patient;
- the shape and size of the tumor;
- the duration of the disease;
- possible inflammation;
- available torsion of the leg;
- the goodness or the malignancy of the tumor.
Based on these indicators is assigned a treatment:
Many surgeons aim not only to free women from cysts, but also to preserve the function of reproduction, keeping the lowest risks of organ damage, and keeping the maximum ovarian tissue.
Laparoscopy may not be the only method of treatment of a tumor. Also, the treatment may be carried out by the method of cystectomy, when the cyst is separated from the healthy tissue of the ovary with full preservation of its functions.
Can still be applied resection of the right or left ovary, implying the removal of that part which borders with the tumor. Moreover, after the operation, the appendage is able to fully recover.
In some cases, oophorectomy is surgery to remove the epididymis, and sometimes of the fallopian tube.
The effects of surgery
Most of the women who had surgery laparoscopy or involved in another method of tumor removal, very worried that in the future will not be able to get pregnant and have a baby.
To say that the operation laparoscopy is perfectly safe, impossible, but the purpose of such manipulation is to prevent the formation of cancer processes, the preservation of reproductive functions and the establishment of the hormonal sphere.
Forecasts after surgery is usually favorable, but only if the causes, symptoms and the main factor is eliminated, and the rehabilitation period was completed for all prescriptions.
Dermoid cyst and pregnancy
Sometimes dermoid cyst found in the time of pregnancy. Doctors in such situations to tolerate treatment in the postnatal period, of course, watching a pregnant and controlling any changes from cysts to take emergency measures in an emergency.
If the cyst is small in size and without complications, it does not affect the course of pregnancy processes and fetal development. Therefore, in this situation, urgent treatment is required. This allows us to conclude that a dermoid ovarian cyst and pregnancy able to exist together if no significant changes in the tumors.
In the case of cysts of large size is compressed adjacent organs, against which there is a risk of twisting of the leg or rupture. Such problems are a serious threat to the normal course of pregnancy. And in this difficult situation, the treatment involves removal of the cyst, which uses laparoscopy. However, this operation can be performed no earlier than 16 weeks of pregnancy, so as not to affect the development and gestation.
If delivery is by caesarean section, laparoscopy to remove a cyst runs parallel with childbirth. In all other aspects the tumor is removed after a certain period of time.