What Is an Ovarian Fibroid?

Ovarian fibroids are one of the most common diseases in gynecology. They are the most common among tumors in various organs throughout the body. Their prevalence in gynecological diseases is 1.3-23.9%, of which malignant tumors account for about 10%. Ovarian tumors can occur at any age. Most of them occur at the reproductive age. Most of the benign ovarian tumors occur at the age of 20-44. Malignant ovarian tumors occur at the age of 40-50. Adolescents or young girls can also develop ovarian tumors, which are often malignant. And ovarian tumors in the late menopause are mostly malignant. Ovarian fibroids are located in the pelvic cavity and are asymptomatic in the early stage. Malignant tumors spread rapidly. Most patients are in advanced stages when they seek medical treatment. According to reports at home and abroad, the five-year survival rate of ovarian cancer is only about 30%.

Ovarian fibroids

The pathogenesis of ovarian fibroids

The cause of ovarian fibroids is still unclear. Among the causative factors of ovarian cancer, environmental and endocrine effects have received the most attention. As far as is known, the etiology of ovarian cancer is multifactorial, including genetics, environment, hormones and viruses. Pathological characteristics of common ovarian fibroids:

1. Ordinary epithelial tumors. These tumors mostly originate from the body cavity epithelium of the ovary, accounting for about two thirds of the primary ovarian tumors, and about 90% of all ovarian cancers. ^[1]

1. Serous tumor: Its benign are serous cystadenomas, adenomas, and cystadenofibroma; serous borderline tumors; serous cystadenocarcinoma.

2. Mucinous tumors: mucinous cystadenomas; borderline mucinous cystadenomas; mucinous cystadenocarcinomas.

3. Endometrioid tumor: endometrioid tumor; endometrioid carcinoma.

4. Ovarian clear cell carcinoma.

5, Bolerner's tumor: benign buller's tumor, proliferative buller's tumor, malignant buller's tumor.

Sexual interstitial tumors:

1. Granuloma

2.Follicular membrane tumor;

3. Fibroids;

4, testicular blastoma;

3. Lipid cell tumors;

Germ cell tumor:

1. Asexual cell tumor;

2. Endodermal sinus tumor;

3. Teratoma: Immature teratoma, mature teratoma, ovarian thyroid tumor.

5. Gonoblastoma.

6. Secondary (metastatic) tumors.

Seven, ovarian tumor-like lesions:

1.Follicular cysts;

2. Corpus luteum cyst;

3. Multiple luteinized follicular cysts;

4. Polycystic ovary;

5. Ovarian endometriosis cyst.

Ovarian fibroids Ovarian fibroids clinical symptoms

First, the clinical manifestations of benign ovarian tumors: tumors develop slowly, often asymptomatic in the early stages, often found by chance during a gynecological examination. A bloating sensation will appear as the tumor grows. The patient can touch the tumor from the abdomen. If the tumor grows and occupies the pelvic cavity, it can cause compression symptoms, such as frequent urination, constipation, and so on. Examination of the abdomen can touch well-defined masses. During the gynecological examination, cystic or solid masses were touched on one or both sides of the uterus, the surface was smooth and movable, and it was not connected to the uterus. Benign tumors are generally painless and cause abdominal pain only when complications such as torsion, rupture, or secondary infection occur.

Second, the clinical manifestations of malignant ovarian tumors: There are many unconscious symptoms in the early stage, such as symptoms often have reached the advanced stage. Tumors grow rapidly in the short term, abdominal distension, symptoms of ascites and compression, or infiltration of surrounding tissues. Functional tumors can produce the corresponding symptoms of estrogen or androgen. Patients with advanced stage develop cachexia such as weakness, weight loss, and anemia. Women's investigations of tumors were mostly solid, bilateral, uneven, fixed, and uterine rectal depressions could touch nodules of various sizes, and sometimes enlarged lymph nodes under the axilla and clavicle. Complications can occur regardless of benign and malignant tumors, such as twisted tumor pedicles, tumor rupture, infection, and malignant changes.

Ovarian fibroids ovarian fibroids diagnosis

Ovarian tumors, whether benign or malignant, have no special symptoms at an early stage. Once symptoms such as abdominal pain, lower abdominal mass, and ascites appear, they are mostly benign tumors with complications or advanced malignant tumors. In general, according to the patient's age, medical history characteristics, local signs and gynecological examination, it can be initially determined whether it is an ovarian tumor, and benign or malignant can be estimated. If the diagnosis is difficult, further auxiliary examinations can be performed. For example, the diagnostic accuracy rate of B-mode ultrasound is> 90%. Pathological diagnosis is the main basis for the diagnosis of ovarian tumors. Lymphography can help determine the involvement of lymph nodes in ovarian cancer. Prompt.

Ovarian fibroids

B-ultrasound, CT, lymphography, cytology, laparoscopy, tumor markers such as embryonic antigen CEA, alpha-fetoprotein AFP, tumor-associated antigen TAA, chorionic gonadotropin HCG, lactate dehydrogenase LDH. Pathological examination.

Ovarian Fibroids Ovarian Fibroids Treatment

1. The principles of treatment of benign ovarian tumors should be treated surgically. The scope of surgery can be selected according to the age of the patient, whether there are fertility requirements and tumor conditions: tumor ablation, one-sided ovariectomy, or double appendectomy.

2. Malignant ovarian tumors are mainly surgery, supplemented by chemotherapy or radiotherapy. In principle, the scope of the operation should be a total uterine and bilateral appendectomy. Omentum resection should be performed at the same time for stage Ic and above, and thorough surgery should be performed for stage Ic-, including total uterus, double appendages, omentum, appendix and retroperitoneal paraaortic and pelvic lymphadenectomy. Try to remove metastases and other affected organs. Ovarian cancer is more sensitive to chemotherapy and can be used before, during, and after surgery as appropriate. Combined chemotherapy is now used. In recent years, intraperitoneal chemotherapy has attracted much attention. Radiotherapy is often used as an adjuvant treatment after surgery. Immunotherapy is one of the adjuvant treatments. The treatment and monitoring of malignant ovarian tumors is very important, and re-exploration is an important method.

prevention:

Because the cause is unknown and early asymptomatic, early diagnosis and prevention are difficult. Raise women's awareness of self-care and pay attention to women's regular census work, which is conducive to the early detection and diagnosis of this disease.

Features of adolescent ovarian fibroids

1. Adolescent women's ovarian tumors are mostly benign, but the proportion of malignancy is also quite high. Compared with other age groups, they should be more vigilant, especially when they find that the tumors are solid, stiff, and grow quickly.

2. When adolescent women suffer from ovarian tumors, some may also experience symptoms such as uterine bleeding and irregular menstruation.

3. As some ovarian tumors have the function of secreting hormones, when puberty develops prematurely or sexual maturity accelerates (such as premature breast development, premature menstruation, premature formation of mature women, etc.), they should go to the hospital for examination To determine whether adolescents have ovarian tumors. Because this type of ovarian tumor is more malignant, the timing cannot be delayed. Such tumors that can secrete hormones include ovarian granulosa cell tumor, ovarian teratogenic chorionic carcinoma, and ovarian embryo cancer.

4. Generally, the pedicle of ovarian tumors in adolescent women is long, often suddenly twisted due to exercise, jumping, rotation, etc., and severe abdominal pain will occur.

5. Adolescent women's ovarian tumors are easier to find. This is because girls have a slim body, narrow waists, and small gaps in the abdominal cavity. When ovarian tumors grow up, they tend to compress the abdominal organs. Many young girls will have a corset behavior, urinating the bladder and causing frequent urination. Therefore, parents should always care about their daughter's waist and abdomen, and should go to the hospital for examination when they find abnormalities.

Ovarian fibroids postoperative diet

Ovarian fibroid diet

(1) Eat more anti-tumor foods.

(2) If you have bleeding symptoms, you can eat foods such as sheep blood, coriander, squid, amaranth, and mushrooms.

(3) If infection occurs, eat more celery, mung bean, rape, sesame, buckwheat, red bean, toon and other foods.

(4) If the patient has abdominal pain and bloating, he can eat orange cake, pork loin, chestnut, hawthorn, orange cake, walnut, chestnut, and bayberry.

Other aspects of ovarian fibroid life

Method 1: Develop good habits and change bad habits. Because many diseases are related to lifestyle, everyone must ensure that the diet is regular.

Method 2: Keep an optimistic and cheerful mentality at all times, and do not have a long-term depression and anxiety mentality, because the bad mentality and emotions are bad for the ovaries.

Method three: Appropriate participation in sports activities, such as yoga, tai chi, etc. These sports are not only good for ovarian maintenance, but also good for all parts of the body.

Method 4, remember to add iron when menstruation, iron is blood, blood is good, of course, the complexion will be better. ^[2]