The cystadenoma of ovarian: symptoms, causes and treatment
The cystadenoma of the ovary is a cyst filled with serous fluid, and indicates the presence of benign epithelial tumors.
There are several varieties of this disease. The cyst may take many forms depending on the structure of the walls of the cyst. The most common is serous cystadenoma, it is derived from blood plasma. Approximately a third of its patients diagnosed with mucinous form.
Serous and papillary cystadenoma
Serous cystadenoma is a cyst into a pouch, filled with a clear liquid of a watery consistency. Sometimes reaching an impressive size, it makes itself felt dull pain and feeling of heaviness in the lower abdomen. Such formations are divided into two main groups: simple serous and papillary.
Simple serous cystadenoma is a benign smooth moving the cyst does not reach an abnormally large size and usually does not cause pain. Often occurs in one ovary one-part structure in the form of a dense capsule.
Papillary cystadenoma is characterized by the appearance on the inner covers of the original cyst growths similar to warts. Hence the second definition — papillary. These bumps can spread across the inner surface of the cyst, and eventually go out.
Often papillary cystadenoma is diagnosed with multiple cameras and can affect both ovaries. This type of cyst is a danger in further development, as there is a possibility of its malignant transformation, therefore, as a rule, the decision on its surgical removal.
Another type of papillary cystadenoma — hromosoma, On its inner surface a dense papillary find education and platelets. Such education is virtually not affected by further negative transformation and do not lead to cancer.
For mucinous cystadenoma typical multi-chamber structure and a smooth wall. A cyst filled with mucus or composition having a pudding-like consistency. Another feature is the ability to achieve considerable size, up to 40 and even 50 cm.
Often the mucinous cystadenoma was detected immediately on the two ovaries. About five percent of cases occurs its transformation into a malignant form.
Symptoms and causes of education
Small cystadenoma absolutely do not manifest themselves. Discomfort in the lower abdomen starts to bother a woman when the tumor increases in size. At some point, marked disruptions of the menstrual cycle, constipation, urination disorders.
Acute pain indicates that urgent help is needed because it can be a sign of torsion legs cysts, which will cause necrosis of its tissues, or so I honked the horn a rupture of a cystadenoma. And then a dangerous inflammation of the contents will be poured into the inner space of the peritoneum. Impressive dimensions mucinous tumors are also reflected in the increase in the volume of the stomach. A woman feels the presence of a foreign body, delivering physical discomfort.
Factors causing cystadenoma of the ovary, in the medical literature describes quite a lot. Among the most likely causes are the following:
- long experience of female stress;
- venereal disease;
- ectopic pregnancy;
- hormonal imbalance;
- pathology of the reproductive system in the chronic form: adnexitis, endometritis, colpitis;
- viral infection;
- the effects of operations;
- physical and mental exhaustion.
Best cystadenoma detects ultrasound. Ultrasound serous cyst easily tracked on the monitor in the form of a rounded, clearly defined dark spots. Difficult to distinguish it from functional cysts requiring surgical removal, as it is able to dissolve itself. Therefore, a doctor may decide to observe the time behavior of the cyst and appoint anti-inflammatory and hormonal therapy. Unlike the functional cyst is the cystadenoma alone can not disappear.
If detected papillary form of the tumor, it is recommended to Refine the diagnosis magnetic resonance imaging. In addition to hardware studies, the patient is taken blood for the presence of tumor markers.
Obtained in the course of diagnosis results allow to determine operational impact for cystadenoma is a necessary measure. If this is a simple smooth serous or mucinous kind of form is small, then the applied laparoscopy by sparing technique without large incisions.
This type of operation contributes to the maximum preservation of tissues of the ovary, because it is focused only on removing the tumor itself. This is particularly important if future child bearing.
Compared with conventional abdominal surgery laparoscopy also has other advantages:
- rapid postoperative rehabilitation;
- the low percentage of complications;
- maintaining normal hormonal balance;
- the lack of depression;
- excellent cosmetic effect thanks to the small inconspicuous seams.
A large papillary tumor type, including hromosoma, leads to the necessity of its complete removal in the course of abdominal surgery — laparotomy the affected ovary, especially if such education was found in women after forty years. May need laparotomy and in that case, if the mucinous cystadenoma reached a very large size or has a lot of big cameras.
Remote cystadenoma of the ovary must be subjected to further study to exclude its malignant degeneration.