A 14-year-old girl with an ovarian tumor filled with hair, skin, and cartilage

Mar 17, 2022 09:24 GMT+7

14-year-old girl, going to the doctor, accidentally discovered an ovarian tumor about 8 cm large. Ultrasound depicts a solid mass in the ovary. Follow-up for 1 month shows that the tumor tends to increase in size and the baby feels heavier in the abdomen.

The doctors decided to do laparoscopic surgery. Although the baby is still small, the doctor still has to consider the necessity of surgery.

The last is ovarian dermoid tumor (teratoma). The tumor contains all the typical components of a dermoid tumor (skin, hair, hair, cartilage…) and is about 10cm in size.

Ovarian dermoid tumor is a tumor that develops inside the ovary, originating from a number of differentiated germ cells. When the germ cells develop and differentiate, they will form an adult teratoma or a dermoid tumor with a structure containing sebaceous tissue, skin, hair, bone …

There are 2 types of ovarian cysts: benign and malignant tumors, most ovarian dermoids are usually benign and rarely show specific symptoms.

When newly formed and in the development stage, ovarian cysts often have no obvious signs, so it is difficult to recognize. Symptoms only occur when the tumor grows large enough, specifically: Constant dull pain, irregular menstrual cycle.

The patient feels abdominal pain, fullness and discomfort in the uterus, the abdominal cavity below the navel is painful and has a feeling of bloating. Abnormal vaginal bleeding.

Pain in the pelvic area that is intermittent or continuous, which may radiate to the sides of the thighs and extend along the waist. Gastrointestinal disturbances, nausea due to the tumor pressing on the rectum.

Foreign bodies from a baby girl’s tumor.

Ovarian dermoid cysts are mostly benign but without timely or proper treatment, ovarian dermoid cysts can lead to serious complications, affecting a woman’s ability to have children such as: ovarian torsion, develop into cancer…

The case of these tumors appearing on both sides of the ovaries is extremely dangerous, because the extent of their complications is very large. However, this is rare, and most tumors appear only on the left or right side of the ovary.

At Bai Chay General Hospital, doctors also performed surgery on a patient Nguyen BT (13 years old, residing in Dong Trieu Town, Quang Ninh province) examined at Bai Chay Hospital with a dull abdominal pain.

The results of abdominal ultrasound showed a large mass of the right ovary measuring 75x49mm. The patient was diagnosed by a doctor with a large tumor on the right ovary and assigned to surgically remove the tumor.

The surgical team of Dr. CKI. To Thi Kim Quy – Head of the Department of Obstetrics and Gynecology, Bai Chay Hospital, “this girl has a physical ovarian tumor, which is a disease that can be seen in all subjects from girls at puberty, not yet puberty to the elderly > 80 years old. .

Without early surgery, the tumor will grow more and more heavily, causing heavy abdominal pain, affecting health, living, quality of life and fertility. Tumors can compress the bladder, rectum, and large intestine, causing urinary incontinence, frequent urination and persistent constipation, poor diet, etc., affecting health, reproductive function, and quality of life. patient.

When the tumor is complicated, it can cause ovarian necrosis, rupture causing blood spillage, abdominal effusion leading to peritonitis, abdominal infection, life-threatening …

Doctor Quy said that early detection and surgical treatment of ovarian tumors, especially in women of reproductive age, will help preserve reproductive function and avoid malignant complications affecting health and well-being. live.

Doctors of the Department of Obstetrics and Gynecology, Bai Chay Hospital recommend that women of all ages have regular gynecological examinations to detect, diagnose and treat abnormal obstetrics and gynecological diseases early.

Khanh Chi