When does ovarian cyst require ovarian removal?

Under what circumstances does ovarian cyst require ovarian removal?

Ovarian tumors are common tumors of the female reproductive organs and have different properties and forms, namely unilateral or bilateral, cystic or solid, benign or malignant, among which cystic ones are more common and have a certain malignant ratio.

Common causes: related to genetic, endocrine, environmental and other factors.

Common symptoms: Movable, non-tender, medium or smaller intra-abdominal mass.

Clinical manifestations: The most significant feature of a medium or lower abdominal mass, if there is no complication or malignant change, is mobility, which can usually be transferred from the pelvic cavity to the abdominal cavity. Malignancy or inflammation, limited swelling and tenderness, and even symptoms of peritoneal irritation and ascites.

Pregnancy test, gastroscopy, fiber colonoscopy, color Doppler ultrasound, MRI, serum tumor markers, etc., as well as abdominal puncture, laparoscopy, laparotomy, etc. in some special cases.

1. Laparoscopy

The general condition of the tumor can be directly seen, the entire pelvic and abdominal cavities can be observed, multiple biopsies can be taken at suspicious sites, and peritoneal fluid can be absorbed for cytological examination to confirm the diagnosis and postoperative monitoring. However, for patients with large or adherent masses, the retroperitoneal lymph nodes cannot be observed.

2. Radiological diagnosis

MRI and CT are helpful for diagnosing liver, lung, and retroperitoneal lymph node metastasis. Abdominal plain film is helpful for diagnosing intestinal obstruction.

Surgical treatment: The treatment of ovarian cysts depends on the patient's age, malignancy, cyst location, volume, size, growth rate, whether to preserve fertility and subjective wishes.