does a teratoma tumor of ovary cost alot of pain?

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I'm not trying to freak you out but you REALLY need to research that.  (+ info)

Teratoma and edometriosis.?

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I just had laparoscopy to remove a teratoma from my left overy and my doctor found out that I have edometriosis ( I have never had any symptoms of the disease) A couple of months before that i was trying to get pregnant but i couldnt. My questions are. What are my chances of ever getting pregnant with these complications, and should I start taking fertility pills sooner than later. I am 30yrs old and running out of fertility time.
Hi!,
The diagnosis of endometriosis should be suspected by the history, corroborated by pelvic examination, and verified by endoscopy or biopsy. One should be able to suspect the disease process by pelvic examination, particularly by rectovaginal examination and finding tender, nodular uterosacral ligaments with a fixed third-degree uterine retroversion.

Remember, however, endometriosis is not the result of the third-degree retroversion; rather, endometriosis is its cause.

Obviously, this disease may be diagnosed by biopsy or endoscopy. In certain patients where there is a contraindication to laparoscopy, culdoscopy can be done by careful manipulation through the cul-de-sac.

The differential diagnosis of endometriosis involves excluding such diverse lesions as benign ovarian cyst, adenomyosis, ovarian cancer, pelvic inflammatory disease, metastatic bowel or ovarian cancer in the cul-de-sac, disseminated splenosis, and calcified mesotheliomas.

Benign ovarian cysts may persist for several months and bleeding from a corpus luteum cyst or adhesions around a follicle cyst may produce pelvic pain. These physiologic cysts are usually asymptomatic, but in certain patients they may be confused with endometriosis.

Similarly, adenomyosis may cause abnormal bleeding and pain. Ovarian and bowel cancer may produce nodularities in the cul-de-sac. Pelvic inflammatory disease may lead to bilateral tubo-ovarian masses and pain. Rarely, a ruptured spleen, calcified mesothelioma, or oxyuris vermicularis may produce calcified cul-de-sac nodules.

The differential diagnosis of ovarian endometriosis is occasionally difficult because of the presence of other diseases involving the uterus, tubes or ovaries. One patient, for example, a 44-year-old para 4 who had her last child at age 28 and had been asymptomatic until three months prior to surgery, noticed irregular bleeding and spotting with a dull aching pain in the right lower abdominal area. On pelvic examination, nodularity was felt in the cul-de-sac and both ovaries were enlarged and tender.

Laparotomy disclosed a large corpus luteum cyst and a follicle cyst of the left ovary, together with moderate ovarian endometriosis, and a total hysterectomy and bilateral salpingo-oophorectomy were performed. The irregular bleeding was undoubtedly due to the persistent and irregular production of estrogen and progesterone from the corpus luteum cyst.

The scattered areas of endometriosis on the ovary in this patient produced no symptoms, which is not unusual. Those patients who have the most extensive endometriosis have very little pain, while those who have minimal subperitoneal cul-de-sac endometriosis may suffer from severe pelvic pain.

It is important to remember, however, that every chocolate cyst of the ovary is not produced by endometriosis, since hemorrhagic follicle and corpora lutea cysts may have a similar gross appearance.

Incidentally, in this case, the gynecologist made a diagnosis of bilateral endometriomas prior to surgery on the basis of the history and the cul-de-sac nodules. The diagnosis was incorrect, but sufficient endometriosis was present to warrant hysterectomy and bilateral salpingo-oophorectomy.

Adenomyosis, or internal endometriosis, refers to the invasion and growth of endometrium in the myometrium and is usually characterized by a clinical situation quite different from that of external endometriosis. However, in certain conditions the symptoms may be quite similar in that pelvic pain, hypermenorrhea, and intermittent staining are common in both processes. Therefore, it merits consideration in differential diagnosis.

Adenomyosis usually occurs in an older age group than does endometriosis-about ages 35 through 50. The past history is usually that of increasing pelvic pain and hypermenorrhea in a woman of moderate parity. The adenomyotic uterus is symmetrically enlarged, nodular and tender, but the cul-de-sac and ovaries are usually normal.

Ovarian carcinoma is difficult to diagnose, due to the lack of specific symptoms. It is very important to note, therefore, the significance of endoscopy in making a precise diagnosis in infertile patients suspected of having ovarian endometriosis. Although carcinoma of the ovary does not arise frequently in areas of endometriosis, some authors have suggested that it occurs more often than is generally reported. If endoscopy is not used early in such cases, the endometriotic component may have been replaced by cancer by the time a definitive diagnosis can be made.

In patients with a previous history of ovarian endometriosis and infertility, the gynecologist must be aware of the possibility of malignancy occurring in such cases, and the patient should be so informed preoperatively. It should also be noted that patients with a proven history of endometriosis should have a pelvic examination every six months and endoscopy early in the infertility survey.

Differential diagnosis in patients with ovarian enlargement can also be very difficult. One patient, a 42-year-old para 2, complained of recurrent pelvic pain, and examination revealed a large left ovarian mass with displacement of the uterus. A diagnosis of endometriosis was made, but at laparotomy a large dermoid cyst of the ovary was found. An intraligamentous leiomyoma was also found together with endometriosis of the right ovary and surface of the uterus.

This illustrates the varieties of pelvic pathology which may coexist with endometriosis and which determine the type of surgical procedures performed, although it should be noted that the combination of benign cystic teratoma with ovarian endometriosis is not common.


Because of its frequency and variable clinical picture, the condition most frequently confused with endometriosis is chronic pelvic inflammatory disease with bilateral adherent adnexal masses. An inflammatory ovarian endometriotic cyst may present the same clinical picture as a tubo-ovarian abscess or pelvic abscess, and is rarely diagnosed prior to surgery.

It should also be borne in mind that rupture of an ovarian endometrial cyst may simulate pelvic peritonitis, appendicitis, ectopic pregnancy, ovarian cyst with twisted pedicle, rupture of a corpus luteum cyst or, in fact, any other acute pelvic condition.

One unusual condition which is impossible to differentiate from an ectopic pregnancy is a hematosalpinx resulting from endometriosis of the tuba) mucosa. Only microscopic examination will delineate trophoblastic tissue. If the pregnancy test is positive and hypersecretory glands are found in the endometrium, an ectopic pregnancy would be suspect.

Just as endosalpingiosis of the uterine corms develops in or near the transition from uterine to tuba) epithelium, endometriosis may also develop in the tubal mucosa near the fimbria. Fimbrial endometriosis may represent a distinct entity originating in situ rather than by implantation. It is also possible for endometriosis to occur in other portions of the tube, particularly near the ampulla. These menstruating foci may occur in differentiated tuba) mucosa or implanted endometrial tissue. Then, if the fimbria becomes sealed, a hematosalpinx due to functioning endometriosis may occur.

Finally, I would like to cite the case of a patient who had had a total hysterectomy and bilateral salpingo-oophorectomy for extensive endometriosis. Unfortunately, because of extensive cul-de-sac disease, the cervix was not removed. In order to prevent the development of vasomotor symptoms the patient was given sodium estrone sulfate at an initial dose of 1.25 mg. Apparently, this was inadequate and the dose was increased to 5.0 mg daily. When I saw the patient about two years later, she was referred because of a large, cauliflower growth of the cervix. Biopsies revealed active endometriosis. Behind the cervix the vagina was filled with blue nodules and there was fixation of the recto-sigmoid to the upper vagina. This process had been stimulated by the excessive estrogen dosage.

The exogenous estrogen was discontinued and the patient was given medroxyprogesterone acetate in a dose of 100 mg every two weeks for four doses and then 200 mg monthly. Three months later, marked regression had occurred and a cervicectomy was performed together with excision of the upper vagina and a segmental resection of the rectosigmoid.

Regards,$  (+ info)

AFP readings for teratoma?

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Please, is someone able to explain or give me some sites to find out more information about AFP readings? I don't know any more than this, only that they are the cancer markers for \ teratoma done through blood tests. Is possible that the letters I've given are wrong, but I don't think they are. Thanks in advance,
no you got it right is Alpha fetoprotein (AFP) usually detectable in the embryo or foetal stage.

sometimes these can be "growth" of hair bone nails and tissue but no baby present.
not necessary cancer "markers" these can just be "growths".

AFP is present in pregnancy and gradually decreases the nearer you get to childbirth.

hope this helps  (+ info)

what is a teratoma tumor. And is there a picture of the tumor.?

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A teratoma is a type of neoplasm (specifically, a tumor). The word teratoma comes from Greek and means roughly monstrous tumor. Definitive diagnosis of a teratoma is based on its histology: a teratoma is a tumor with tissue or organ components resembling normal derivatives of all three germ layers. Rarely, not all three germ layers are identifiable. The tissues of a teratoma, although normal in themselves, may be quite different from surrounding tissues, and may be highly inappropriate, even grotesque (hence the monstrous): teratomas (the plural infrequently given as teratomata) have been reported to contain hair, teeth, bone and very rarely more complex organs such as eyeball, torso, and hand. Usually, however, a teratoma will contain no organs but rather one or more tissues normally found in organs such as the brain, liver, and lung.

Go to the below web site for more info and pictures.  (+ info)

Pilonidal Cyst Or Teratoma?

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I have had this weird lump located on the natal cleft of my buttocks for the last year. I was alarmed at first since I have never experienced something like that before, but I ignored it since it didn't bother me. The only way I can describe it is that it's just a big lump that you can't really see, but can be felt on the surface of the skin.

In an entire year, only the last day or two it has become very painful and it seems to be growing. It is unbearable to touch and hurts to sit against something. It is not really visible on the outside but it is so painful that it hurts to walk since it rubs against clothing. I've done some preliminary research and the only thing I could come up with is either a pilonidal cyst or a teratoma tumor. My concern is that if it is in fact a pilonidal cyst, it does not look like one. There is no open wound or pus. It is a solid lump that feels like the size of a golf ball but you would never see it with the naked eye.

Has anyone experienced something similar? I'm going to the doctor tomorrow but I'm hoping that I can get some advice in the meantime as to what it could possibly be.
Concertina - Good job of diagnosing! For now, drop the possibility of any teratoma which more usually occurs in the ovary (or male testis). Pilonidal cysts and anal fistulas are similar in location and surgical treatment requirements. Both infections occur within the buttocks at the base of the spine, and require medical intervention when they become infected. Anal fistulas, however, involve the lower digestive tract whereas pilonidal cysts do not. Pilonidal cysts occur at the bottom of the tailbone and are usually skin infections that arise because of a bacterial infection of the skin due to moisture and hair pushing into the skin where the buttocks come together. Infected cysts must be medically cleaned and allowed to drain. Pilonidal cysts often occur in young women under the age of 25.
Now, you need to get your doctor to confirm your diagnosis and work together for a cure. Good luck.  (+ info)

testis teratoma..........?

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five months ago my husband had to do a surgery because of appendix and when the doctr did the ct scan he sad that he saw something else in his stomach after apendix surgery he has to go to specialist and then he sad to do ultrasound which showd that he has something in his left testicle too that is connected with this thing in his stomach and they send him to urologist he examined him and he sad that i dont think its cancer and he asked him to do blood test which came back fine and they decide too do biopsy and biopsy came back that he has testicuolar cancer so last week we went again to the urologist and after he red the biopsy report he sad that it could be teratoma and he still isnt sure if it is cancer because he sad that when i examine doesnt show so we are so confused and we purchased the tickets to go at our backhome for one month so the urologist sad that if it is this teratoma that he thinkks he sad that u can go but he called us and say that bext will call another specialist and maybe will do the surgery to remove this thing in his stomach which they thinkg came from testicles
Your husband's situation should be the need for surgical treatment  (+ info)

How dangerous is my unborn's Sacrococcygeal Teratoma?

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My wife is Chinese and we are living in China currently. Our unborn daughter has been diagnosed as having a Sacrococcygeal Teratoma. I understand this is a fairly uncommon thing where a tumor develops off of the tail bone.
I am having some communication problems with the doctors though because Chinese is not my first language....
As far as I can understand the tumor currently is roughly the same size as my baby's head and nearly 100% external. The doctor also seemed happy to let us know the tumor's mass is mostly liquid and doesn't appear to have nerve clusters or large knots of blood vessles etc.
This sounds all positive to me but I was wondering if anyone has some experience with this and could put things into perspective for me.
Personal experiences are also appreciated.
Thank You
So sorry you are going through this. From what I have read this type of teratoma is almost always not malignant and depending on the size can be treated before birth or with surgery after birth. However, in some rare cases the teratoma can be malignant . . or once removed it can reoccur. So there does exist the possibility that this is cancer . . small chance . .but one you should be aware of . .

There are a few informative websites and foundation where you can locate others who have gone through this too:

UCSF: Fetal Treatment Center - Sacrococcygeal Teratoma
http://fetus.ucsfmedicalcenter.org/sct/

Teratoma Support Foundation - you can join the online group
http://www.teratomasupport.com/  (+ info)

Does anyone know of doctors that could operate on soeone who has invito teratoma and cysticfibroma....?

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My best friends husband was diagnosed with this in 99 and all the doctors he has seen have just told him he would die within the next couple years and it has been since 99 that it has been told to him and he is still alive.He is one out of I believe 100 cases in the world that has this but he is the only case in the world that has invito teratoma and cysticfibroma...he has 3 teratomas in him at this time.It seems to be mutating.He also has massive seizures.Please if there is anyone out there that knows of a doctor or is a doctor that could give this man a normal life again it would be a blessing.
Might I suggest the Hospital of Shands ,in Jacksonville Fla  (+ info)

what is "immature cystic teratoma?"?

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Is it considered ovarian cancer?
It would be considered an ovarian teratoma. Teratomas can be located in numerous locations with one location being one or both ovaries.

http://www.emedicine.com/med/topic2248.htm  (+ info)

what causes teratoma's?

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The parthenogenic theory, which suggests an origin from the primordial germ cells, is now the most widely accepted. This theory is bolstered by the anatomic distribution of the tumors along lines of migration of the primordial germ cells from the yolk sac to the primitive gonads.  (+ info)

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