Serous cystadenoma (simple and papillary)

September 15, 2015


Serous cystadenoma ovary is the most popular among all ovarian cysts (70%). It is best suited to the classical description of the term “ovarian cyst” — a bubble with a clear liquid. In medicine such transparent, clear liquid called serosal, hence the name of the tumor.

Depending on the specific structure of the wall, the cyst is divided into simple serous cystadenoma (has a smooth, flat surface) and papillary (or papillary) cystadenoma. On the inner surface of the latter there are small dense growths resembling warts.

Simple serous cystadenoma.

This ovarian cyst has different names — simple serous cystadenoma solid wall reliabilily cyst, serous cyst. Since this is the most common cyst, some doctors will shorten the term and just say “cistadenoma”.

This tumor has a fairly dense capsule, usually she was the single, most often affects only one ovary. Size cistadenomy is from 4-5 to 15 cm. Quite often serous cystadenoma common in the age of the patients (after 50 years).

Papelera (papillary) cistadenoma.

As mentioned above, the main difference papillary cistadenomy of the ovary is the presence of papillae on the inner surface of the cyst. They appear in a simple cystadenoma a few years later. That is, in fact, pappilary cistadenoma is the next step of developing the disease.

Sometimes these growths occupy almost the entire area of the tumor and may even appear outside. Papillary cystadenoma may contain not one but several cavities (chambers), often affects both ovaries. All these features make it easy to make the correct diagnosis by ultrasound (USG) and immediately recommend surgery. A distinctive feature of papillary cystadenoma – more frequent malignant degeneration. Therefore, all the patients before you uninstall, you need to take a blood test at the level of tumor markers (CA-125, HE4). Their value will allow the surgeon to choose the correct size for the operation.

Causes of serous cystadenoma

The causes of serous cistadenomy still to be confirmed. Most scientists agree on the idea that they come amid a time of hormonal imbalance in the body or after myocardial inflammation (of the uterus).

One theory, serous cistadenoma is formed functional ovarian cysts (follicular cyst of a yellow body). Usually functional cysts self-resolve within a few months after their appearance. This is due to a special layer of cells in their wall. But the more time passes, the fewer of these cells remains. And after about a year, the ability of functional cysts to spontaneous resorption is lost and is formed of serous cistadenoma.

Usually cistadenomy appear after 30 years, although in recent times it occurs at an earlier age.

Symptoms of serous cystadenoma

The Symptoms of serous cystadenoma of the ovary is directly dependent on its size. With this growth comes discomfort or nagging abdominal pain from the cysts, lower back pain. With significant amounts of cysts may be an increase in the size of belly, feeling the presence of a foreign body. Papillary cystadenoma ovary sometimes gives the accumulation of fluid in the abdomen (ascites), which also leads to its increase.

Diagnosis of serous cystadenoma

Serous cystadenoma well seen with ultrasound examination. On the ultrasound screen she looks like a black round patch with clear contours. The main difficulty of diagnosis, as I mentioned above, is that the first time can sometimes be difficult to distinguish from functional cysts. So often in the absence of indications for emergency surgery for this cyst see a few months.

This observation allows us to understand functional after all you have a cyst or not. For 1 to 3 months functional cysts will significantly decrease in size or disappear completely. With serous cystadenomas during this time, usually nothing happens.

With a trial purpose sometimes prescribe anti-inflammatory or hormonal therapy (contraceptives), which accelerates the resorption of functional cysts.

Treatment of serous cystadenoma

If you still exclude the functional nature of the cyst, the treatment of cystadenoma of the ovary should be only operative. Independently of such ovarian cysts will never disappear. Extent of surgery depends on the age, condition of the ovary and cyst.

As mentioned above, the greatest danger is papillary cystadenoma due to frequent malignant degeneration. This forces the surgeon in patients of older age group more often to remove the affected ovary as a whole.

In the case of a simple serous cistadenomy such tactics are not justified as a malignant growth it gives extremely rare. But the lack of cancer awareness is not a reason to delay the surgery as long its growth, there are other serious complications.

The Solution.

On the basis of foreign experience my technique was introduced by careful removal of cystadenoma depending on cancer astrogenetix. It differs from typical laparoscopy and gives excellent results.

The Main task of deleting cistadenomy at a young age — to keep the maximum healthy tissue of the ovary.

In practice, this gives a number of advantages:

  • The ability to have children, because preserved ovarian reserve
  • Lack of weight gain because the ovaries continue to maintain normal hormone levels
  • Elasticity and youthfulness of the skin, because that is a responsibility ovarian estrogens
  • Saving of sexuality and a good relationship with your partner, because there are still the normal level of sex hormones
  • Excellent health, no depression and mood swings, because there are no sharp fluctuations in hormone levels
  • Preventing the development of many serious diseasescardiovascular, diabetes, diseases of the joints) because ovarian estrogens protect your body
  • Quick rehabilitation after an operation, because we use modern anesthesia
  • Reduced risk of surgical complications, because we use disposable and qualitative tools
  • Good tolerance to surgery because we practice only the noninvasive techniques
  • Excellent cosmetic effect, because we impose intradermal sutures that don’t even need to remove
  • Prevention of cancer, because we remove all

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