How to check chocolate cyst

Experts say: Chocolate cysts have a tendency to become malignant. Waiting until malignant changes occur before receiving examination and treatment will cause great harm. Therefore, you must be careful when examining and use a variety of methods to assist in diagnosis. Currently, there are a variety of methods to examine chocolate cysts. So how do you examine a chocolate cyst? Let's take a look at the following introduction.

Chocolate cyst examination method

1. Cytological examination: as fornix puncture, ascites can be aspirated for cytological examination. During laparoscopy or laparotomy, exploration, dissection and removal of cysts, fluid can be aspirated from the rectouterine pouch at the same time, which has a high accuracy rate in diagnosing malignant tumors.

2. Laparoscopy: It can directly see the general condition of the tumor, observe the entire pelvic and abdominal cavity, perform multiple biopsies at suspicious sites and absorb peritoneal fluid for cytological examination to confirm the diagnosis and postoperative monitoring. However, it is contraindicated for patients with huge or adhesive tumors, and retroperitoneal lymph nodes cannot be observed, which is a disadvantage.

3. Radiological diagnosis: Diagnosis is assisted by abdominal plain film, intravenous pyelography, barium swallow examination, lymph node angiography, etc. CT can distinguish between benign and malignant tumors, diagnose pelvic masses with intestinal obstruction, and show liver, lung and retroperitoneal lymph node metastasis.

Experts say: Once a chocolate cyst is found, vaginal four-dimensional color Doppler ultrasound is of great clinical significance in order to diagnose whether it is cancer. If it is a functional cyst, the cyst may shrink or disappear when re-examined. If the cyst does not disappear or becomes painful and enlarged during re-examination, laparoscopic exploration should be performed if necessary. Actively use minimally invasive laparoscopic surgery for direct treatment to eliminate the danger. Secondly, if the cyst is a malignant ovarian tumor, like other tumors, it can produce and release antigens, hormones, enzymes and other products. These substances can be detected in the patient's serum through immunology, biochemistry and other methods, called tumor markers, indicating the presence of a certain tumor in the body.

The above is a detailed introduction to the examination methods of chocolate cysts, and I hope it can help female friends. If you have any questions, you can have a one-on-one communication with our gynecology online consultation experts. The experts will patiently answer your questions and keep your privacy confidential.