Saturday, October 27, 2007

Ovarian cyst

Ovarian cyst generally means a type of ovarian tumor, it can happened in all ages, but mostly seen in 20-50 years old. Usually, the malignant tumor or cancer of the ovary seldom shows any illness in their course of disease, therefore, early prognosis is difficult; 70% diagnosed are already in the late stage, very little patients can get early treatment in time, the survival rate often lingers at 20-30%, it is one of the most dangerous female cancer; ovary is a small organ but it is a good location for various types of tumor, the ovarian cyst has different features and morphology--single or combined type, unilateral or bilateral, cystic or dense type, benign or malignant, and not less ovarian tumors can produce female or male hormones (androgens). The ovarian cyst has no significant clinical signs in the early stage, normally, patients discovered it by other gynecological diseases. As the tumor grows, the patient will feel it and the symptoms vary due to the characteristic, size, development, mutation and secondary changes. Main signs: 1. Early signs-- lower abdominal discomfort without feeling of lumps at the particular area. The patient might feel swelling and falling in the lower abdominal or the pelvis cavity due to tumor movement that affects its peduncle and the pelvis funnel ligament, which is caused by the tumor s mass, peristaltic movement of the intestine and changes of the body posture. 2. Increase of the abdominal circumference and lumps in the abdomen; the patient will sense that their clothes or belt becomes tight, then only get to know increasing of the abdomen s size, or accidentally feel of lumps while pressing it in the morning which accompany by abdominal distension. 3. Abdominal pain: If the tumor has no complications, there will be less pain. Therefore, if the patient feels pain in the abdomen, especially sudden occurence, it is mainly due to twisting of the tumor s peduncle, rupture of tumor, hemorrhage or infections. Besides, the malignant tumor always causes abdominal pain and leg pain; the pain often makes the patient to receive treatment as an acute disease. 4. Menstrual disorder: Usually, the ovarian cyst or even bilateral ovarian cyst will not irregulates menstrual cycle if there is no disturbances in the ovaries tissue. Some of the uterine hemorrhages do not cause by hormonal factor, it may cause by pelvic vessels changes due to tumor s malignancy which resulted in hyperemia of the endometrium; or cause by the malignancy spreading (metastases) to the endometrium. The menstrual disorder cause by hormonal tumor often accompanied by other hormonal disturbances. 5. Compression syndrome: The large ovarian tumor can compress diaphragm and cause difficulties in respiratory and heart palpitation, ovarian tumor that causes ascites can also induce the same symptom; but some of the respiratory disturbances is due to either unilateral or bilateral hydrothorax; it is often followed by ascites and forms the so-called Meigs syndrome. The large benign cyst may occupied whole abdominal cavity, causing increasement of intra-abdominal pressure and impairs the venous flow of the lower extremities and may resulted in edema of abdominal wall and lower extremities; while the malignant one will compress the venous flow of the pelvic canity and resulted in edema in one of the lower extremities. The compression of organs in abdominal and pelvic cavity normally causes difficulties in urination such as retention of urine and stool disturbances, e.g constipation and etc.There are 4 conditions to diagnose as ovarian cyst: (1) Is it an ovarin tumor? (2) What type of ovarian tumor? (3) Any other complications? (4) What type of growth?[Clinical treatment result] There were 230 cases adopted the traditional chinese medicine (TCM); 225 cases recovered completely, 5 cases turned out better. Effectiveness 100%.

No comments: