Four strokes teach you check the pelvic masses

　　Pelvic masses mainly coming from the pelvic reproductive organs, such as the uterus, ovaries, fallopian tubes, also from the other pelvic organs or tissues, such as the abdominal wall, appendix, rectum, bladder and retroperitoneal tissue, etc. The mass.
　　Cause pelvic masses can be caused by normal pregnancy, ectopic pregnancy, cancer, inflammatory mass may also be filling the bladder, intestinal pneumatosis, intestinal adhesion, retroperitoneal mass, vaginal deformity caused by the upper vagina or uterine cavity hemorrhage, or left in the abdominal cavity after surgery within the gauze.
　　Diagnosis can refer to age, period, with or without vaginal bleeding, abdominal pain, bloating, fever, and tumor size, location, growth rate, single bilateral, with or without surgery, infection, infertility history and the history of such mass . Check emptying the bladder before the patient must, if necessary, be the pilot of urine. Check attention tumor size, location, character, activity, with or without tenderness, the relationship between mass and surrounding tissue, etc. In case of unclear or gut checks have fecal material should be made after defecation or enema triple diagnosis Check.
　　Inspection method
　　1. Gynecological examination. Most pelvic masses and ovarian abnormalities were found by pelvic examination, but smaller than the mass or obesity is difficult to find through the pelvic examination.
　　2.B ultrasound examination. Is a screening pelvic masses economy, rapid and effective means of detection, we can find the nature of ovarian enlargement and lumps. Transvaginal B-ultrasound showed ovarian abnormalities more accurately. Highly suspected ovarian cancer, but lack of evidence or economic conditions permitting, CT examination.
　　3. Serum cancer antigen 125 (CA125) test. When ovarian tumors of unknown nature, CA125 and other tumor markers detection in the diagnosis. However, there is pelvic inflammatory disease or endometriosis when, CA125 can be elevated. In addition, not all of the CA125 ovarian cancer are abnormal.
　　4. There is family history, check the BRCA (breast cancer gene) 1 and BRCA2 can further filter family of high-risk individuals, but the detection of ovarian cancer patients in the positive rate of only 5% to 10%.
　　In addition, the pregnancy test, probe test, hysterosalpingography technique, X ray or laparoscopy, CT scan, MRI or other examinations can help to diagnose.