The differential diagnosis of ovarian cancer

By | May 2, 2012

Differential diagnosis of ovarian cancer, ovarian gonadal female organs, can produce eggs and secrete female sex hormones. In adult women, its about the size of 4cmX 3cmX 1cm, flat oval, and substantial. Two ovaries are located at the bottom of the uterus, after both sides in order to connect the broad ligament ovarian mesangial posterior lobe, with the appearance of the pelvic ligaments in the pelvis funnel, the inside of the ovaries and uterus ligaments connected to the inherent. Ovarian blood vessels and nerves in the pelvis funnel Traveling ligament. No peritoneal ovarian surface, covering simple cuboidal epithelium, under which the ovarian albuginea organization, within the ovarian cortex, containing a large number of primordial follicles, the Center for the medulla no follicles, containing blood vessels, nerves, lymph vessels and so on.
Ovarian cancer lacks specific performance, easy to be confused with a number of diseases:
1. Benign ovarian tumors
Benign tumors showed expansive growth, the volume can be large, smooth mass, mostly cystic, thin wall, no ascites. CA125 values <35U/ML. Diagnosis was confirmed by surgical resection for pathological examination.
2. Pelvic tumor
Including ovarian and pelvic adhesive swelling, tubal plot clothing. Patients may have fever and a history of lower abdominal pain, tumor fixation, nodules sense, and the surrounding tissue adhesion. Serum CA125 was normal or slightly higher. Anti-inflammatory treatment may reduce the tumor was diagnosed also need to laparotomy.
3. Peritoneal tuberculosis
Abdominal mass or pots can produce blocks, many accompanied by ascites, weight loss, fever and so on. Check the abdomen with characteristic sense of flexibility, ascites cytology and acid-fast bacteria examination can help diagnose the disease, if necessary, laparoscopic and laparotomy, surgery to see if changes typical of TB, still line the frozen pathological examination.
Differential diagnosis of ovarian cancer, 4. Endometriosis
Often involving the ovary, rectum nest easily planted in the womb, and machines with the menstrual cycle of repeated bleeding, lesions growing, hardening, and the surrounding tissue adhesion formation and ovarian cancer can be very similar to the lesions. The younger patients with multiple, with or without dysmenorrhea history. Slightly elevated serum CA125 values, generally no more than lOOU / ML. By laparoscopy and laparotomy and confirmed.

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