Pelvic Tumor

Anatomically, the pelvis consists of the part enclosed by pelvic peritoneum plus the extra-peritoneal part. Primary pelvic tumors have insidious onset; patients often delay seeking care because symptoms are atypical. Before correct diagnosis, 4-6 months or even 4-5 years may pass, giving tumors ample time to grow. Pelvic masses should be actively investigated, etiologically clarified and treated early. Endometrioid cysts rank second in proportion; about half the cases have a history of dysmenorrhea, 1/3 have menstrual disorders (prolonged periods, spotting), a few have no obvious symptoms and occasional lower-abdominal heaviness; ultrasound shows most as anechoic areas, some mixed-echo, thick irregular capsule, often bilateral, with mildly elevated CA125. Chronic pelvic inflammatory masses rank third at 16.48%, mostly chronic pelvic inflammatory disease, mainly because acute-phase symptoms were mild and overlooked/untreated, or acute phase not fully cured and became chronic.

Common Symptoms

Lower-abdominal mass; lower-abdominal heaviness; menorrhagia; irregular menses; non-pregnant abdominal enlargement; localized lower-abdominal pain

Causes and Pathogenesis

Endometrioid cysts rank second; about half have dysmenorrhea history, 1/3 have menstrual disorders (prolonged periods, spotting), a few have no obvious symptoms; ultrasound shows mostly anechoic areas, some mixed-echo, thick irregular capsule, often bilateral, mildly elevated CA125. Chronic pelvic inflammatory masses rank third at 16.48%, mostly from inadequately treated acute pelvic inflammatory disease becoming chronic.

Treatment

Surgery, drug therapy, radiotherapy, supportive care

Preventive Measures

1. Prevent pelvic tumors by avoiding early pregnancy, abortion and multiparity:surveys show that very young/underage women with immature reproductive systems and low resistance to infection are prone to pelvic tumors if they conceive. 2. Hygiene: women have weak resistance during menstruation and are easily invaded by pathogens; maintain menstrual cleanliness and keep the area dry. 3. During intercourse, avoid excessive intensity and maintain environmental hygiene. 4. Avoid contact with men having reproductive disease (transmission risk); avoid multiple sexual partners.

Department to Visit

It is recommended to visit the Gynecology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.