The female patient was frightened when she heard this and insisted again: "The doctors didn't tell me this before. What do you mean by malignant?"
"Don't be nervous yet..." Doctor Li Yuen wanted to say a few words to comfort the patient, but she coughed again after saying a few more words. This time she couldn't stop coughing, so she had to take another throat lozenge and hold it in her mouth to catch her breath, and signaled the student opposite to continue to speak for her.
Xie Wanying continued, "What Dr. Li means is that according to the current examination report, your cyst is more likely to be a benign cyst, and it may be an ovarian teratoma. The probability of an ovarian teratoma being benign is more than 90%. Of course, the final result requires surgery to remove the cyst for pathological examination to determine whether it is malignant or benign."
The patient was not satisfied with this explanation and complained to the doctor: "Doctor, I came to check why I can't get pregnant, and you said I have polycystic ovary syndrome, then cyst, and then benign or malignant. What do you mean?"
Not all patients are intellectuals. The proportion of people with higher education is low. It is difficult for laymen to understand doctors' professional words without a certain level of knowledge and culture. Doctors can only do as much explanation as possible.
"The polycystic ovary syndrome and ovarian cysts we talked about can cause infertility. There are many reasons for infertility, including the ovarian inflammation you diagnosed with before. Bacteria entering the uterus and causing infection can also cause infertility. The doctor needs to help you find the final cause and prescribe the right medicine, otherwise it will be ineffective. For example, the ovarian inflammation you have been treating for a long time has improved, but it turned out to be useless, right?" Xie Wanying said.
The patient understood this statement a little better and asked again: "Why did you say I had polycystic ovary syndrome before, but now you say I have ovarian cysts?"
It is impossible for the patient to say that he has polycystic ovary syndrome for no reason. In fact, looking at the patient's medical records, we can find that the first ultrasound examination of the patient in a small hospital did not show much difference between the images and those in a large hospital, but the ultrasound doctor directly diagnosed him as suspected polycystic ovary syndrome. The ultrasound doctors in small hospitals are not as skilled and often make wrong judgments.
Polycystic ovarian cysts are similar to ovarian cysts. They appear as cysts on ultrasound. Polycystic ovarian cysts are caused by multiple follicles on both sides of the ovaries that are underdeveloped and cannot be discharged. They are small follicles. From a medical diagnosis point of view, there are usually more than a dozen of them.
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B-ultrasound examination of polycystic ovary cannot be diagnosed as PCOS. It needs to be combined with other clinical symptoms, such as excessive hair growth, acne, and obesity, which are manifestations of excessive androgen. Therefore, with his rich clinical experience, Dr. Gang Li can roughly judge whether the patient has PCOS just by looking at the patient's face and body shape.
Polycystic ovary syndrome is called polycystic ovary syndrome only when there is a symptom of excessive androgen, which means that this disease is a disease of excessive androgen, so it is an endocrine metabolic disease. There are many medicines available for excessive androgen in current medical treatment. There is no need to be too afraid of polycystic ovary syndrome. Taking medicine, or having an ovarian puncture or IVF can basically solve the problem of infertility.
Why did doctors in other hospitals pay more attention to this patient and tell her to go to another hospital to see a famous doctor? It was because she did not have polycystic ovary syndrome.
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