ОСОБЕННОСТИ КЛИНИЧЕСКИХ ПРОЯВЛЕНИЙ ЗРЕЛОЙ ТЕРАТОМЫ ЯИЧНИКА

Abstract

The study of the described clinical case is of undoubted interest, taking into account the peculiarities of the clinical picture. In this clinical case, there was an asymptomatic course of the disease, which did not manifest itself as the occurrence of clinical symptoms during the patient's pregnancies, despite the change in the architectonics of the pelvis. In addition, there were no complications associated with the presence of a mature ovarian teratoma. The patient was not regularly monitored by an obstetrician – gynecologist, despite the presence of fibroids and adenomyosis. A detailed ultrasound examination of the pelvic organs carried out earlier would have made it possible to diagnose this pathology and carry out treatment. Despite the low frequency of malignancy of this histological type of true ovarian tumors, such a probability is not completely excluded with their long-term existence. In addition, in the presence of a mature teratoma, complications such as infection, torsion or rupture of the formation capsule are often found. Such complications may occur suddenly and lead to vital complications, require emergency surgical intervention. At the same time, there may be no possibility of intraoperative histological examination of the removed drug, which in case of ovarian tumors may lead to an inadequate amount of surgical intervention. In addition, without surgical treatment and subsequent histological examination of the removed ovarian formation, it is impossible to carry out differential diagnosis of mature and immature teratomas as well as other true ovarian tumors, including malignant ones. Therefore, after conducting a study of this clinical case, the following conclusions can be drawn. It is necessary to carry out preventive examinations of patients without gynecological pathology and careful dispensary observation of patients with gynecological diseases carefully, with ultrasound of the pelvic organs, which will allow timely diagnosis and treatment, to avoid possible complications.