【Love Wants Sex Series 341】Blood test detects benign or malignant ovarian hygroma without surgery

[ad_1]

(Kuala Lumpur News) Women must first know that most tumors cannot be detected until they are scanned. In fact, many women usually learn that they have tumors in two situations. One is an ultrasound examination during a general physical examination, or they may be admitted to the hospital for some reasons, and the doctor will do an ultrasound, CT Scan or MRI with her. And suddenly it is discovered that the patient has tumors; in addition, the patient has certain symptoms and finds out after going to the doctor for examination.

Hydromas, irregular menstruation and pain

What are the abnormal symptoms of hygroma? Dr. Chen Yiping, consultant obstetrics and gynecology, said that it is usually irregular menstruation.

“Because the ovaries control hormones, if something is growing in the ovaries, menstruation will be irregular. In addition to menstrual irregularities, there will also be pain. Ovarian tumors can sometimes cause pain, whether it is menstrual pain, ovulation or pain at any time. As long as there is pain, If the pain is in the abdomen, you need to worry about whether it is ovarian hydroma.

She pointed out that it is a pity that some women do not know that hygroma can reverse the entire ovary. Since many internal organs have peritoneum on the surface, they form peritoneal or ligament support, which prevents the internal organs from being displaced at will and reduces the impact of exercise on the organs. impact.

“The ovary is also supported by ligaments, but it is not fixed like other organs. Instead, it is suspended from the uterus and pelvic cavity by the intrinsic ovarian ligament and the pelvic infundibular ligament. It can easily follow the movements and postures of the body. And if it rotates up and down in a small amount, it can return to its original position on its own under normal circumstances.”

However, if there are tumors in the ovary, abnormal tissue proliferation will make the ovary larger and heavier, which will increase the amplitude of oscillation and make ovarian torsion more likely to occur.

Large uterine tumor presses on intestines causing constipation

She said that because each ovary has blood vessels, if the blood cannot pass through, the ovary will become necrotic, and the patient will feel severe pain. When she went to the hospital emergency room, it was too late, and the doctor had to act immediately. Surgery, but if the ovaries cannot be saved, this is the most regrettable situation.

Are there any symptoms of sarcoma? Chen Yiping emphasized that tumors usually only get bigger and bigger, while uterine fibroids are not painful, they just keep growing, and they can be very exaggerated; the same is true for hygromas. If the tumor grows too large, you will have symptoms such as frequent urination, including having to go to the toilet several times at night, and frequent constipation, because there is a large tumor in the uterus pressing on the large intestine, causing constipation.

In addition, uterine fibroids can also affect redness. Some patients will have redness a lot or for a long time. These are all symptoms of sarcoma. Therefore, if women have the above abnormal conditions, they must go to an obstetrics and gynecology department. Went for a checkup.

Intraovarian hydromas may turn into cancer

If it is a hygroma in the ovary, it may turn into cancer, so the next step for women is to do a blood test.

“For blood tests, they usually look for tumor markers.

The more common test is CA 125, which is verified by physical examination.

But CA 125 is not the most accurate,

The most accurate one is Human Epididymis Protein 4 (HE4 for short).

It’s a pity that not many people can test HE4. “

“The blood test will give us a rough idea of ​​the tumor. Is it cancer? Or a tumor? Is it benign? Or malignant? The doctor will know by looking at the ultrasound. If we see something, such as the blood test index is a bit high, or your If the tumor is very large, or your tumor does not look like an ordinary tumor, it may not be just one, but may look like many grapes, or there may be meat inside the tumor, etc., these will cause you to worry, but it may not necessarily be cancer. , but the chance of cancer is relatively high.”

Make a hole to draw blood and remove blood tumors

As for the treatment method, it depends on the type of tumor. Except for ordinary hydromas and hematomas, drugs can be used. Only for others, there are no drugs and surgery is the only option. Nowadays, most people undergo laparoscopic surgery, so this kind of hygroma can be easily removed.

What other options are there besides surgery and medication?

She said that the doctor can make a small hole, put a needle in, and draw out the blood, but we can’t use this method for all tumors. We can only do this for blood tumors, but it’s useless to just draw out the water, because the tumor is still there. , will reappear soon, we need to brush out the tumor. Usually we use alcohol to draw blood out of the tumor, then put the alcohol back in, and then take it out after 15 minutes. In this case, the tumor cells will It will die and then disappear.

2 Surgical Options for Fibroids Removal Without Drugs

For endometrial polyps, if there is no bleeding, doctors generally recommend observation first. However, if the polyps are painful and affect daily life, for example, they may bleed and worry about the possibility of cancer.

“Usually doctors advise patients to take out the polyps. It only takes 5 minutes to suck them out. There is no need for surgery at all, because the endometrial suction is in the middle of the uterus, so the doctor can put a laparoscope in, It’s like looking at a hysteroscope, looking in and sucking it out, it only takes five minutes to solve it.”

If the fibroids are small, you can ignore them for now.

Chen Yiping pointed out that endometriosis sarcomas are like blood tumors. In fact, there are medicines to take, but the medicine may not solve the patient’s problem forever, but needs to be taken for a long time. But now there is no medicine to take, it should be It is said that there is no medicine to take for the time being, because that medicine has been banned, and some new medicines have not yet arrived in Malaysia. Chen Yiping thinks it may take 5 to 10 years to arrive, because many medicines have been researched in foreign countries, and they also need It will take many years to get to us.

Uterine fibroids usually cannot be solved by medication, but surgery. The two options are ablation, commonly known as burning, and resection.

Usually, if the fibroid is small, the doctor does not recommend to ignore it. When it is larger, the doctor will recommend removing the fibroid, because uterine fibroids rarely turn into cancer. If it is too big, the doctor is afraid that it will turn into cancer.

Laparoscopy can be performed for small tumors

But the chance of recurrence is still very high, because we know that fibroids will shrink when they grow to a certain extent. If a woman is in her 40s, some can be ablated and burned, but it will take time to relapse, so It doesn’t need to be burned too many times; if you are too young, it may not be suitable because you have to burn it every few years and you may burn it to no end.

Nowadays, doctors rarely perform traditional surgeries. Generally, doctors perform laparoscopic surgeries. However, laparoscopic surgeries are also divided into many types, including the latest laparoscopic method, which can be performed from the belly or vagina, but it needs to be taken out from the vagina. The tumor cannot be too big, because the tumor needs to pass through the vagina; and vaginal laparoscopic surgery is the best way to do it, because there is no pain after the surgery. In other words, patients do not need to take painkillers after the operation. Simple painkillers are enough. After two or three days, the wound is no longer painful and you can run around or work, so the recovery time is very long. quick.

If the tumor is too large, you have to go through the abdomen, because it cannot come out of the vagina. Ordinary laparoscopy is through the abdomen. Due to the advancement of technology, doctors can still do it even if the tumor is very large, but the cost may be high. It is very high, because occasionally doctors have to use robotic hands; for most patients, Chen Yiping would encourage using robotic hands instead of human hands.

Therefore, Chen Yiping advised patients: “If you want to be simpler and solve the problem earlier, if you don’t want to undergo surgery, you must come for treatment early; if the fibroids become as big as eight or nine months pregnant, Surgery is not that simple!”

[ad_2]

Source link