Dermoidny cyst of an ovary
Dermoidny cyst of an ovary – the additional education of ovarialny fabric consisting of the thick-walled capsule in which slizeobrazny weight with various inclusions contains (skin, fatty tissue, sebaceous glands, hair, bones, teeth, nervous tissue). Clinically dermoidny cyst of an ovary proves at achievement of the big sizes: in this case dizurichesky violations, disorders of defecation can be noted to belly-ache and a waist. Dermoidny cysts are inclined to an inflammation, is quite often observed pereknut cyst legs. Diagnostics includes gynecologic survey, ultrasonography, MRT, a laparoscopy. Treatment of dermoidny cysts of an ovary quick – a kistektomiya, a wedge-shaped resection of an ovary or an ovarioektomiya.
Dermoidny cyst of an ovary
Dermoidny cyst (dermoid, mature teratoma) – a benign tumor of an ovary which occurs at 15-20% of women with ovarialny cysts. The Dermoidny cyst of an ovary usually has the round or oval form, smooth external walls, with a diameter up to 15 centimeters can grow. Inside the cavity of a teratoma is covered by a multilayered epithelium and filled with jellylike contents with mature fragments of derivatives of an ektoderma, an endoderma and a mesoderm (grease and sweat glands, hair, fatty, nervous, bone, etc. fabrics).
The Dermoidny cyst develops from germinal embryonic leaves which at violation of a pre-natal differentiation of fabrics remain in ovaries. The Dermoidny cyst of an ovary can arise at any age (children's, teenage, reproductive, climacteric). The reasons of formation mature teraty are unknown; in their development the provocative role of hormonal changes during puberty and a climax, stomach injuries is supposed. Dermoidny cysts of an ovary grow slowly, usually have unilateral localization (more often right-hand). In 1-3% of cases regeneration of a dermoidny cyst of an ovary in planocellular cancer is noted.
Symptoms of a dermoidny cyst of an ovary
In initial stages the dermoidny cyst of an ovary is not shown symptomatic and can become a casual find at a gynecologic research or ultrasonography. Clinical displays of a dermoidny cyst of an ovary are connected with achievement of the big sizes by it (15 and more than a cm). During this period the patient has feelings of a raspiraniye and weight, morbidity in the bottom of a stomach, sometimes – increase in a stomach in sizes. Increase in a cyst can be followed by pressure upon a bladder or a rectum that is shown by increase of an urination, dysfunction of intestines (locks or diarrhea)
The Dermoidny cyst of an ovary does not cause hormonal changes and violation of menstrual function, but has tendency to the complicated current. At an inflammation mature teraty body temperature increases to 39 °C, there is an expressed weakness and belly-ache. In case of a perekrut of a leg of a dermoidny cyst of an ovary the clinic of a sharp pelvioperitonit with symptoms of irritation of a peritoneum, rise in temperature, sharp ongoing pain with irradiation develops in a leg and a rectum.
Sometimes the dermoidny cyst of an ovary can come to light for the first time in the course of conducting pregnancy. If the teratoma has the small sizes, does not cause violation of work of the next bodies and does not become complicated, during pregnancy it is not touched. In this case treatment of a mature teratoma is recommended after the delivery. Pregnant women with the revealed dermoidny cyst of an ovary have to be on the special account at the gynecologist.
Diagnosis of a dermoidny cyst of an ovary
At two-handled (vaginal and abdominal or rekto-abdominal) a gynecologic research the dermoidny cyst of an ovary is palpated in the form of the elastic, roundish, mobile and painless education located kpered and sideways from a uterus.
In gynecology the greatest informational content in detection and diagnosis of a dermoidny cyst of an ovary ultrasonography of a small pelvis possesses the transvaginal and transabdominal sensor. At ultrasonic scanning the cyst sizes, thickness of the capsule and intensity of blood supply, the ECHO density of its contents, existence of inclusions in her cavities are defined, it is frequent – kaltsifikata. In doubtful situations the diagnosis of a mature teratoma is confirmed during computer diagnostics and MRT.
At the complicated course of a dermoidny cyst of an ovary carrying out a puncture of the back arch of a vagina, a laparoscopy is shown; for extra-uterine pregnancy exception - test for pregnancy. At a dermoidny cyst of an ovary tumoral markers anti-genes (CA-125) allowing to exclude an education malignization are surely investigated. In the course of diagnostics the mature teratoma is differentiated from other types of cysts and a kistoma of an ovary.
Treatment of a dermoidny cyst of an ovary
The only way of elimination of dermoidny cysts of an ovary is their surgical removal. The volume of operation is defined depending on age of the patient, the size and high quality of education. At the dermoidny cysts of an ovary complicated by an inflammation or reabrupt legs, operation is carried out in the emergency mode and in the volumes dictated by a situation.
At girls and young women the kistektomiya, a wedge-shaped resection of an ovary is made; women in a premenopauza have an ooforektomiya, sometimes an adneksektomiya from defeat. Removal of a dermoidny cyst of an ovary is made in the course of a laparoscopy or a laparotomy. If at a histologic research the diagnosis of a dermoidny cyst of an ovary is confirmed, treatment on it comes to an end. It is recommended to plan pregnancy after removal of a mature teratoma in 6 months – 1 year after operation.
The forecast at dermoidny cysts of an ovary
During timely removal of a dermoidny cyst of an ovary the forecast concerning specific functions (menstrual, sexual, genital) favorable. Repeated emergence mature teraty meets exclusively seldom, in those cases if at the time of operation in an ovary there were microscopic rudiments of dermoidny cysts. After operation routine inspections by the gynecologist and ultrasonography control are carried out twice a year.
At an unextracted dermoidny cyst of an ovary any physical activity (jumps, inclinations, turns) can promote a cyst leg perekrut. Also existence of a cyst bears potential danger of suppuration of its contents and malignant regeneration.