Inspection of pelvis lump

Inspection of pelvis lump
Pelvis lump mainly means the genitals from pelvis, such as the uterus, ovary, oviduct, also can come from other organ or organization, the intersection of belly and wall, appendix, rectum, bladder, the intersection of person who organize and swollen thing of behind the peritoneum of pelvis.
The reason for causing pelvis lump can be that normal gestation, ectopic pregnancy, tumour, inflammation charter the piece, may plentiful bladder, intestines accumulate angry, intestinal adhesion, make piece, vaginal upside or uterus that vaginal deformity cause, accumulate blood behind the peritoneum also, or gauze,etc. left over in the abdominal cavity after the operation.
Diagnose that can consult patient's age, period, size, position, speed of growing, dual single sides that have vagina bleeding, abdominal pain, abdominal distension, generating heat and lump, whether there is operation history, infecting the history, wrapping up piece history and infertile history,etc.. A patient must empty the bladder before checking, needed the urine of guide if necessary. Whether notice in the size, position, property, activity degree of the swollen thing, have tenderness while checking, the intersection of lump and relation with surrounding tissue,etc., in case of check clearly or have the intersection of excrement and piece in the intestine, should examine the inspection after defecating or enema jointly three times.
Inspection method
1.The gynaecology checks. It can be checked through the gynaecology and is found that most pelvis lumps and ovaries are unusual, but smaller lump or relatively overweight person, it is very difficult to check and find through the pelvis.
2.Ultrasonography B check. Sift and check one of the economic, fast and effective detection means of pelvis lump, can find the properties of ovary increasing and lump. Check and can reveal the ovarian abnormal state accurately by vaginal Ultrasonography B. Highly suspect ovarian cancer, and lack the inspection of feasible CT under the evidence or situation that the economic condition allows.
3.Serum tumour antigenic 125(CA125) Detection. When ovarian lump properties are unidentified, the detection of CA125 and other tumour mark things contributes to diagnosing. But the intersection of pelvis and inflammation or store the intersection of membrane and malposition in the uterus in at the disease, CA125 can rise too. In addition, CA125 that it is not all ovarian cancers unusually behaves.
4.The person who has family's history, check BRCA (cancer gene of breast cancer) 1 and what BRCA2 can be further screened in the family endanger individuals, but only 5%- 10% of positive rate in the ovarian cancer patient of this detection high.
In addition, auxiliary examination such as pregnancy tests, probe testing, uterus oviducal lipiodol radiography skill, X-ray or laparoscopy, CT scanning, nuclear magnetic resonance can contribute to diagnosing.
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