Current location - Plastic Surgery and Aesthetics Network - Plastic surgery and medical aesthetics - Can malignant ovarian cancer be removed?
Can malignant ovarian cancer be removed?

Most women with malignant ovarian cancer choose to have the ovarian cancer removed from their bodies. However, many women are worried that the removal will affect their bodies, and even more worried that they will not be able to let their bodies go. Get better, but in fact, some women will really get better after removing ovarian cancer, so it still depends on the woman herself. So, can malignant ovarian cancer be removed? Can malignant ovarian cancer be removed?

Ovarian Surgical treatment is the first choice for patients with early-stage cancer, but removal of the ovaries in patients with ovarian cancer cannot prevent recurrence. For early-stage ovarian cancer that is limited to the capsule, extensive hysterectomy and pelvic lymph node dissection should be performed, as well as removal of the omentum to prevent recurrence caused by direct spread of cancer cells. The five-year survival rate after surgical resection is very low. high. After surgery, according to the patient's condition, radiotherapy, chemotherapy and traditional Chinese medicine are used to completely kill the cancer cells. If the ovarian cancer is in the advanced stage and cannot be treated surgically, the cancer cells have spread throughout the body and chemotherapy is required to localize the disease.

The survival time of malignant ovarian cancer is generally short, usually 1 to 2 years. It is related to comprehensive factors such as the stage of the tumor and physical condition of the patient at the time of onset, the area of ??surgical resection and spread, as well as radiotherapy and chemotherapy. If the tumor is discovered earlier, the survival time may be longer, and the next treatment needs to be determined based on the pathology after surgery. At the same time, the patient's physical condition, mental state, and psychological pressure are also closely related to the recovery of the condition, prolonging life, and improving the quality of life.

How long you can live with malignant ovarian cancer is related to the stage of ovarian cancer and the type of ovarian cancer. Ovarian cancer is divided into serous ovarian cancer, mucinous ovarian cancer, borderline ovarian cancer and fibroma. Serous ovarian cancer is highly malignant, and even if it is discovered at an early stage, the survival rate is generally about one year. If it is a fibroma, the malignancy is low and the survival rate may be about three years. If ovarian cancer is found in stage three or above, the survival rate generally does not exceed six months. Ovarian cancer is a highly malignant tumor, and the survival rate generally does not exceed five years. Will it be okay after hysterectomy?

Currently, there are roughly two types of hysterectomies performed in hospitals: one is called subtotal hysterectomy, which is a surgical removal of the uterine body but retaining the cervix. Since this surgery does not affect the anatomical structure of the cervix and vagina at all, the secretory function of the cervix still exists (its secretions can lubricate the vagina during intercourse). Therefore, in addition to the postoperative mental and psychological effects of the surgery, the patient may Apart from the interference, it has virtually no impact on sexual life. The other is called total hysterectomy, which removes the entire uterus including the cervix. This complete resection is obviously more reasonable when treating malignant tumors of the uterus. However, since the patient lost the entire uterus after total hysterectomy, the proximal vagina had to be sutured closed. In this way, when you resume sexual life after surgery, you may directly come into contact with the suture, and then face two problems: first, sexual life should not be resumed too early to avoid dehiscence due to the wound not being fully healed; second, If there are granulations left in the wound healing area, pain may occur during sexual intercourse in the future.

Total hysterectomy is the removal of the entire uterus including the cervix. This complete resection is obviously more reasonable when treating malignant tumors of the uterus. However, since the patient lost the entire uterus after total hysterectomy, the proximal vagina had to be sutured closed. In this way, when you resume sexual life after surgery, you may directly come into contact with the suture, and then face two problems: first, sexual life should not be resumed too early to avoid dehiscence due to the wound not being fully healed; second, If there are granulations left in the wound healing area, pain may occur during sexual intercourse in the future.

Even if you have sex after hysterectomy, vaginal dryness and pain may occur due to lack of estrogen. Therefore, when they resume sexual life, they should give female hormone replacement therapy under the guidance of a doctor, or use vaginal lubricants during sexual life to avoid discomfort.

Some patients only need to remove one ovary while removing the uterus. As long as the preserved ovary develops normally and functions well, the secretion of female hormones in the patient will not be significantly reduced. Therefore, Sexual desire and sex life will not be affected.