Aunt Chen, 60 years old, has been menopausal for nearly 10 years. Unexpectedly, near the end of the year, Aunt Chen suddenly had acute lower abdominal pain with vomiting, and her family immediately sent her to the emergency department of Hunan Provincial Hospital of Traditional Chinese Medicine.
I don't know if I don't check, I was shocked when I checked it, Aunt Chen actually had a "giant bomb" hidden in her abdomen!
The pelvic CT of the hospital showed that Aunt Chen had a huge cystic solid mass in her pelvis, with a diameter of nearly 14cm, which was equivalent to the size of a newborn's skull about a month ago.
Because Aunt Chen is relatively obese, she has a pelvic lump that does not cause discomfort, and she feels that she will not get ** disease after menopause, so she has never had a physical examination after menopause.
After Aunt Chen was admitted to the hospital, Zhang Lingli, the director of the Department of Obstetrics and Gynecology Medicine, and Zou Lisha, the director of the hospital, immediately activated the MDT team of the whole hospital and formulated a thorough and detailed plan for her.
During the operation, the "giant bomb"** was explored on the right ovary and combined with pedicle torsion. Rapid intraoperative examination report suggests follicular membranocytoma with endometrioid adenocarcinoma.
*The team immediately performed oncology ** surgery on Aunt Chen, and the operation went smoothly, and the results of the routine postoperative medical examination were consistent with the rapid medical examination.
After the operation, the medical team gave Aunt Chen a combination of traditional Chinese and Western medicine**, and after a week of careful care**, Aunt Chen was successfully discharged from the hospital. Due to the timely treatment, Aunt Chen's condition is still in the early stage, and there is no need for further radiotherapy and chemotherapy after surgery.
Aunt Chen said that fortunately, she was timely, and she almost lost Jingzhou, and it turned out that regular checkups are also needed after menopause.
In fact, it is not uncommon for postmenopausal women like Aunt Chen to have this wrong idea, thinking that only menstruation will have ** diseases, but they do not know that postmenopausal is a high-risk age group for many ** tumors. Especially for this type of follicular membrane cell tumor, postmenopausal women are especially favored.
What is follicular membrane cell tumor?
Ovarian follicular membrane cell tumor (OT) is one of the ovarian sex cord stromal cell tumors, which is more common in perimenopausal and postmenopausal women, and the clinical manifestations are atypical, often non-specific symptoms such as abdominal pain, abdominal distension and discomfort, abdominal mass, etc., and acute abdomen can occur when the tumor pedicle is torsed, partly due to accidental findings in physical examination. It is often associated with elevated CA125, pelvic effusion, and pleural ascites and is referred to as "MEIGS syndrome".
OT needs to be distinguished from subseerosal fibroids or broad ligament fibroids, ovarian fibromas, granulosa cell tumors, ovarian cancer, etc., once found, young patients with benign ovarian follicular membrane cell tumors can be treated with tumor resection or adnexectomy according to whether they have fertility requirements, and postmenopausal patients are recommended to undergo total uterine + bilateral salpingectomy.
Tips. Ovarian follicular membrane cell tumor is common in premenopausal and postmenopausal women, with estrogenic effects and atypical clinical manifestations, so the majority of women, especially premenopausal and postmenopausal female friends, should strengthen their understanding of such diseases, achieve early screening, and prevent secondary endometrial cancer.
Hunan Medical Chat Special Author: Hunan Provincial Hospital of Traditional Chinese Medicine **Yanna Follow @Hunan Medical Chat to get more health science information!
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