Auxiliary examination of ovarian tumors

The ovaries are very important for women, especially for their reproductive health. So if there is a problem with a woman's ovaries, such as ovarian cancer, what tests should we do? I hope the following text can help you.

In order to observe the changes in the condition of patients with ovarian tumors and adjust the treatment plan in time, patients have to undergo a lot of examinations during the treatment process. Many of them are examinations that ordinary people cannot access. Therefore, patients who have just started treatment have many questions about this. What examinations should be done for ovarian tumors?

1. Ascites cytology examination

Puncture the iliac fossa in the lower abdomen. If there is little ascites, puncture the posterior fornix to draw out the ascites and check for cancer cells.

2. Tumor marker determination

(1) CA125 has important reference value for diagnosing epithelial ovarian cancer, especially serous cystadenocarcinoma, followed by endometrioid carcinoma. The detection positive rate of serous cystadenocarcinoma is over 80%, and more than 90% of CA125 levels increase or decrease with the improvement or deterioration of the disease. Therefore, it can also be used for post-treatment monitoring. Clinically, CA125 ≥ 35U/ml is the positive standard. CA125 is not specific. The CA125 values ​​of some non-malignant gynecological diseases such as acute pelvic inflammatory disease, endometriosis, pelvic and abdominal tuberculosis, ovarian cysts, uterine fibroids and some non-gynecological diseases are also sometimes elevated.

(2) AFP has specific value for ovarian endodermal sinus tumor. Mixed tumors, dysgerminomas and embryonal tumors containing endodermal sinus tumor components, and some immature teratomas may also have elevated AFP levels. AFP can be used as an important marker before and after treatment and follow-up of germ cell tumors. Normal value