Dermoid cysts are a very different type of usually benign tumors found in the ovary; also found in the brain; sinuses or spinal cord. Dermoid cysts; also known as mature cystic teratomas; have a reported prevalence of about 20%. And in 10 to 15% of cases, they occur in both ovaries.
Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.
Dermoid cyst in the ovary is a sac-like structure that may contain hair, teeth, bone, cartilage, fatty fluids, some oily waxy substances; thyroid tissues, etc. These dermoid cysts grow slowly and do not cause any symptoms until they rupture or get twisted. Dermoid cysts range from half an inch to 45 cm in size
Dermoid cysts are caused by the entrapment of skin and skin structures in the tissues where they can grow. For example; ovaries; skull; spinal cord; sinuses etc. So it means that they are present since birth. They may be small in size initially but they can grow to become very big. And as their cells are similar to outer skin; they contain bone; hair; teeth sebum etc.
There is probably some genetic predisposition in first-degree relatives.
These symptoms indicate either rupture or twisting of the cyst inside the abdomen. Both are serious medical emergencies. Because if the twisting of the dermoid cyst is not corrected on time; the ovary can develop gangrene and may require removal. And if it ruptures inside the abdomen; it can lead to sepsis and shock.
The treatment of dermoid cyst of ovary is surgery .
It can be done either by laparotomy or laparoscopy
Laparoscopy is the method of choice for removal of dermoid cyst of the ovary. Laparoscopy involves using a slender telescope inserted through the belly button. Dermoid cyst is extracted out through key holes. It involves faster recovery and better cosmetic outcome.
Most of the dermoid cysts in the ovaries are detected in the younger and reproductive age groups; and the large majority ; about 98% are benign; about 2% become malignant. The risk factors are:
Any long-standing dermoid cyst of the ovary has a thin chance of turning into a cancerous tumor. So if diagnosed in early years; the surgery should not be delayed.
Dr Dimple Doshi ; at Vardaan hospital aims to carry out the surgery for dermoid cyst in such a way that we can serve the maximum normal ovary without disturbing its blood supply while removing the cyst.