What is the differential diagnosis of ovarian cysts? What are the symptoms of ovarian cysts?

What is the differential diagnosis of ovarian cysts? What are the symptoms of ovarian cysts?

Ovarian cyst symptoms:

1. Thickened abdominal circumference and intra-abdominal tumor;

2. Menstrual disorders;

3. Abdominal pain, etc.

Identification of ovarian cysts:

1 Simple cyst: If the follicular cyst is large and the granulocytes are squeezed into flat or cubic shapes, it cannot be distinguished from a simple cyst. If cumulus or residual squeezed granulocytes are found, it should be diagnosed as a follicular cyst.

2 Cystic granulocytoma: Occasionally, granulocytoma shows huge cystic changes, with the tumor tissue squeezed on the cyst wall in a plaque-like manner, but still having the characteristics of granular cells.

Ovarian Cyst Diagnosis:

1. Ultrasound examination: B-ultrasound imaging can measure the location, size, shape and nature of the tumor.

2 Radiological diagnosis: Barium meal or barium enema, air contrast radiography can be used to understand whether there is a tumor in the digestive tract. CT pelvic tumor location and qualitative pelvic tumor, to understand whether the liver, lung, and retroperitoneal lymph nodes have metastasized. Pelvic lymph node radiography can determine whether there is lymphatic metastasis of ovarian tumor milk.

3 Laparoscopy: The origin and general condition of the tumor can be directly observed, as well as the abdominal cavity and septa of the entire pelvic cavity to determine the extent and duration of the lesion. Ascites can be used for cytological examination, or suspicious tissue for pathological examination. However, large masses or adherent masses are prohibited.

4 Cytological examination: Cytological examination of ascites by extracting ascites through abdominal or posterior fornix puncture is helpful in diagnosing ovarian malignant tumors.

5. Tumor marker examination: Patients with embryonal carcinoma and endodermal sinus carcinoma have high alpha-fetoprotein AFP concentrations, and aFP greater than 20μg/L is positive. β-hCG determination has diagnostic value for primary ovarian choriocarcinoma and ovarian germ cells mixed with choriocarcinoma components. Radioimmunoassay of cancer antigen CA125. CA125 greater than 65U/ml is positive for epithelial cancer and has a high diagnostic significance. Lactate dehydrogenase LDH is helpful in diagnosing dysgerminoma.