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September 2, 2012
The oothecoma on the to structure is a cavity in which there are liquid contents. Emergence of such cavity happens as an effect of a delay of liquid and its hypersecretion. Actually, the word "cyst" happens from Greek and designates "bubble". The wall of a cyst is formed by a small layer of cells which also emit liquid. Respectively, the cyst on an ovary gradually increases.
Features of an oothecoma
The cyst is a high-quality education, however in some exceptional cases the cyst is a sign that at the woman the ovary cancer develops. Some cysts are inborn. The example of it is a dermoid oothecoma. But nevertheless in most cases cysts on an ovary are shown already in the course of life. As a rule, the cyst represents a cavity which has diameter about 15-20 centimeters.
Generally the cyst on an ovary is diagnosed for young girls and women. Those women who were 50 years old suffer from an oothecoma much less often. Statistically, about which physicians speak, approximately in a third of cases the cyst develops at women at whom menstrual cycle is regular. Approximately in half of cases the cyst is shown at women at whom disturbances of a menstrual cycle are constantly noted.
Cysts can form in two different ways: owing to obstruction of an output channel of glands and the subsequent accumulation of a secret, and also in case of forming of a new cavity liquid. Practically all body tissues can undergo transformation in a cyst.
Types of oothecomas
Cysts can be subdivided on organic and functional. At education at the woman of a functional cyst it is possible to speak about its temporality. Such educations arise as an effect of small disturbances in the course of functioning of an ovary. As a rule, at identification of this form of a cyst of the patient reception of oral hormonal medicines then after a while the cyst self-destructs is appointed.
At formation of an organic cyst more serious approach to treatment is required. Such form of a cyst does not disappear independently. As a rule, for its treatment surgical intervention is carried out. At an organic cyst the capsule is more dense.
Besides, some separate types of cysts at which the different approach is applied to treatment are allocated. Follicular oothecomas are shown at the woman as an effect of hormonal disturbances in an organism. The cyst is formed of a preovulyatorny follicle. As a rule, such educations arise at disturbance of endocrine character, and also at problems with a metabolism. This type of cysts is generally characteristic of women in the reproductive period, much less often follicular cysts are diagnosed for women in a climacteric.
In most cases clinical implication of follicular cysts is not observed at all. But sometimes the woman with such diagnosis notes that periods constantly are late, and in the bottom of a stomach pain is periodically felt.
Sometimes at such form of a cyst there are some complications which are negatively displayed on health of the woman. It can be a rupture of walls of a cyst, leg torsion, hemorrhage directly in a cyst cavity. At such pathological manifestations the health of the woman sharply worsens. She suffers from nausea, vomiting, severe pains in a stomach. At cyst leg torsion education can increase in view of disturbance of a venous blood-groove.
The cyst of a yellow body is formation of functional character. Existence of thicker walls is characteristic of a cyst of a yellow body, its diameter can make from 2 to 7 cm. This form of a cyst is similar to a yellow body. The illness develops in the second phase of a monthly cycle, after an ovulation. The expressed symptoms at development of a cyst of a yellow body in the woman are not observed. Several months later there is cyst involution.
Development of a hemorrhagic cyst – a consequence of hemorrhage which occurred in a cyst of a yellow body or a follicular cyst.
The endometrioid oothecoma appears on condition of growth in ovaries of tissue of mucous membrane of an inside layer of a wall. The cyst of this form is filled with dark liquid or blood. It can have a diameter even to 20 cm. As a rule, such education arises at the women having endometriosis.
The dermoid oothecoma is formed of derivative germinal leaves. Most often such cyst represents single-chamber education, in rare instances it happens multichamber. Its capsule very dense, fibrous. A surface – smooth and brilliant. The dermoid cyst contains the different fabrics having an appearance of heterogeneous weight. When research of contents of a cyst under a microscope is conducted, in it elements of germinal leaves often are found. Generally this form of a cyst is diagnosed for young women. It can sometimes have to 15 cm a diameter. This oothecoma is high-quality education, at the same time the woman with such cyst very seldom states the complaints connected with its manifestations. Very seldom there can be a heavy feeling or discomfort in the bottom of a stomach. As complication sometimes there is cyst leg torsion at which the expressed abdominal pains and the general signs of a serious condition are noted. The decision on immediate surgical intervention is in that case made.
The mucinous cyst is an epithelial benign tumor. In a cavity of a cyst there is a mucin – a slizeobrazny secret of an epithelium. Such cyst differs in an uneven surface. Sometimes it increases to especially big sizes and at the same time has not one, and several cameras.
In a serous oothecoma the capsule is covered by a serous epithelium. Inside the capsule is filled by the transparent liquid having light straw color. This tumor also is high-quality.
Women for whom endocrinological diseases are diagnosed sometimes suffer from manifestation of a polikistozopodobny ovary. However, this pathology is characteristic also of healthy women. On outer side of an ovary many cysts develop, at the same time it increases in the amount of. However the syndrome of a polikistozopodobny ovary should be differentiated accurately with a syndrome of polycystic ovaries.
Formation of cystous adenoma (this education call also a cystadenoma, or kistadenomy) comes directly from ovary tissues. Such cyst can increase to the impressive sizes over time — about 30 cm in the diameter.
Physicians subdivide cyst symptoms on primary and secondary. As a rule, in most cases primary symptoms of an oothecoma are not shown at all: the woman has no changes in overall health, the menstrual cycle remains rather regular. It is possible to find a cyst only at careful gynecologic survey. Oothecoma symptoms in certain cases can be shown by pain in the lower part of a stomach which the woman feels or during monthly, or approximately in the middle of a menstrual cycle. Pain can sometimes be given to the area of a groin or to a hip.
Secondary symptoms are shown if there is cyst leg torsion. Being overwound through an intestinal loop, the cyst can provoke impassability of intestines. In that case symptoms will be more pronounced: the woman can note that she shows bleeding, attacks of severe pain, high temperature, periodic vomiting. At manifestation of such symptoms operation needs to be made immediately.
Secondary symptoms of a cyst can be also shown by disturbances of a monthly cycle. Also character of periods changes: they become either scantier, or too plentiful. If the cyst increased very strongly, then, respectively, at the patient the stomach is blown up, and, as a rule, swelling happens asymmetric. Besides the big cyst can negatively influence functioning of other bodies.
The peritonitis arising at a separation of a cyst and its hit in an abdominal cavity can become the heaviest outcome of the started cyst.
Complications of an oothecoma
If treatment of an oothecoma is not carried out timely, in certain cases heavy complications can turn out to be consequence of a disease. First of all, the risk of development of an oncological illness increases. Therefore gynecologists make all efforts timely to reveal a cyst and to provide the correct approach to therapy.
Cyst torsion – one more unpleasant complication which is fraught with manifestation of an acute inflammation and the corresponding symptoms. Sometimes owing to torsion to the woman completely delete an ovary and a uterine tube. The endometrioid oothecoma often is exposed to a gap. In that case it is necessary to make operation urgently. One more serious complication of a cyst is infertility.
Diagnosis of an oothecoma
The diagnosis "oothecoma" can be established by means of some informative methods of research. In particular, the oothecoma is revealed at regular gynecologic surveys. The gynecologist finds the increased appendages and feeling of pain in the bottom of a stomach.
For obtaining more exact information of the patient carrying out ultrasonic research is appointed. Periodic carrying out ultrasonography allows to trace quickly as the oothecoma forms and whether there is its reduction. If there is a suspicion on development of complications of a cyst, to the patient the puncture of a back vault of the vagina allowing to define whether there is blood or other liquid in an abdominal cavity is foreseen.
The method of a laparoscopy allows to obtain reliable information about development of a cyst. This technique is also sometimes applied in the course of treatment.
At suspicion carrying out the special blood test allowing to determine content in an organism of so-called onkomarker is appointed to an oncological disease to the patient. Besides, the blood analysis on coagulability is conducted, and also the hemoglobin content is defined.
If there is a need of confirmation of high quality or a zlokachestvennost of a cyst, to the patient the magnetic and resonant or computer tomography is carried out.
Treatment of an oothecoma
If diagnosis confirms that the oothecoma is high-quality, and at the same time it does not exert a negative impact on other internals, the doctor sometimes makes the decision that a cyst it is not necessary to disturb. At existence of a certain risk negative impact on internals the specialist or carries out a cyst puncture, or appoints a surgery.
Making the decision on tactics of treatment of an oothecoma, the doctor surely considers a disease form, and also all features of an organism of the patient.
So, treatment of a dermoid oothecoma is carried out by exclusively operational method. Quick access by means of a laparoscopy is sometimes carried out. At treatment of women of young age the special attention is paid to remove exclusively a new growth. At the same time to those women who already stay at post-menopausal age the cyst is deleted sometimes together with uterus appendages.
After such operation dispensary observation for the patient for, at least, one year is necessary. However at the same time the favorable forecast takes place.
If hormonal disturbances are the reason of formation of a cyst, then for normalization of a state the woman has to accept a course of oral contraceptives. The cyst of a yellow body of an ovary, and also a follikulyarn a cyst recover with use of oral contraceptives. It is important that medicine was selected only by the attending physician, considering at the same time all features of a female organism.
Also the course of treatment drugs with antiinflammatory influence is in certain cases reasonable. The doctor observes the woman throughout several menstrual cycles. If the tumor does not disappear, it is necessary to perform a surgery on removal of a cyst.
Each woman has to understand also that removal of a cyst is carried out by means of rather simple operation. Therefore it is not necessary to be afraid of it. Now the laparoscopy is most often applied to removal of cysts. The doctor, using special tools and repeated increase, deletes only a cyst, at the same time healthy fabrics are injured minimum.
All new growths which are not entering the categories of cysts described above are exposed to removal in order to avoid complications.
After to the woman operation was made, treatment which positively influences recovery of a menstrual cycle practices. It is reception of vitamins, nootropic drugs, and also contraceptives for three months.
Treatment of an oothecoma folk remedies
There are also national recipes of means which can be applied. Treatment of a cyst folk remedies is carried out only under control of the doctor. Effective tincture can be prepared, having mixed on one tablespoon of the crushed grass of a wormwood and birch kidneys, and having added to mix of a little red pepper and one crushed leaf of an aloe. All this is filled in with a half of liter of vodka and drawn on an extent of ten days. To use mix approximately for half an hour to food on one tablespoon three times a day.
It is also recommended to receive medical treatment for the special collecting consisting of the following plants: leaves of a black nut, grass of a verbena, color of black elder, grass of a train, leaves of a peach and root of a glycyrrhiza. Mix of the crushed plants needs to be filled in with boiled water and to insist about one hour. It is necessary to drink mix on a third of a glass three times a day. The course of treatment such collecting lasts ten days then the five-day break follows. After a break ten-day courses repeat still twice.
Also use of tampons with honey and onions practices. To prepare such tampons, it is necessary to take a bulb and to dip it completely into honey. It needs to be done in the morning that by the evening onions became impregnated with honey. The tampon which is put in a vagina for the night is made of leaves of onions. It is necessary to repeat procedure ten times.
Oothecoma treat also peony tincture. It can be got in a drugstore. Before reception to Don the teaspoon of tincture is mixed with one teaspoon of water. Medicine is taken at the same time three times a day for ten days.
One more recipe – treatment of an oothecoma by means of spirit tincture of walnuts. To prepare it, it is necessary to take a shell and partitions of walnuts, to fill in them with vodka halfliter. Infusion prepares seven days after which it has to become dark brown. For a month it is necessary to accept every day on one tablespoon of such medicine.
Oothecoma and pregnancy
If the woman treats motherhood consciously, then before becoming pregnant, she carefully checks a condition of own health. If the doctor finds a cyst in the patient, she is at once recommended to complete the corresponding course of treatment. Some forms of an oothecoma can negatively influence the developing pregnancy and even conception process. If the cyst is formed owing to functioning of an ovary, then for two-three months it disappears independently and does not influence conception. However if the oothecoma and pregnancy are combined, the doctor constantly has to watch a condition of the woman and development of a cyst.
Endometrioid cysts and polycystic ovaries can interfere with conception. In such cases important or to complete a course of conservative treatment, or to get rid of a cyst by surgical intervention.
If the oothecoma is revealed directly during pregnancy, then the doctor will not be able to guarantee that pregnancy will take place without complications. The matter is that during incubation of the child the woman has certain changes in an organism, and the cyst develops more intensively. Besides, the risk of manifestation of complications increases: torsion, gap. Therefore sometimes doctors make the decision on carrying out operation if duration of gestation exceeds 16 weeks.
Prevention of an oothecoma
Preventive measures in this case consist in the prevention of those reasons which directly wag on manifestation of an oothecoma. It is about abortions, disturbances of hormonal balance and endocrine diseases, sexually transmitted infections, inflammations. It is necessary to take all measures to avoid development of the diseases leading to formation of a cyst. Besides, an important point of prevention is regular visit of the specialist gynecologist.