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Dermoid Cysts

dermoid-cystsThere are 3 embryonic cell layers in early stages of life. These layers differentiate and form cells and tissue groups which eventually forms organs. These layers are called germ cell layers. Germ cells are located in the testicles in males and the ovaries in women. These cells are responsible for the production of egg and sperm cells. These tumours that develop from the germ cells are capable of hosting many different textures. The dominant layer is called the ectoderm germ layer. In this layer, various tissues such as skin and skin appendages will develop. Therefore, the common benign germ cell tumours which are seen in the ovaries are called “dermoid cysts”.

The dermoid cysts can carry pieces from germ cells but usually the dominant layer is the ectoderm. Therefore, portions of the skin and skin appendages are seen more commonly. Sue to the sebaceous glands in the skin, dermoid cysts take form as yellow-brown, oily and dense liquid. Most of the time there can be hair, teeth, bone, cartilage, nerves located within the cyst. The size of the cyst can differ depending on every individual.

Clinic and diagnostic

Dermoid cysts are usually asymptomatic and are usually diagnosed while the person goes for other examinations, during an ultrasound examination, radiographic examination or can be discovered during surgery. Approximately 65% patients experience no symptoms. The most common symptom that can be experienced is abdominal pain. In addition, abdominal bloating and abnormal uterine bleeding can be experienced as well. There can also be symptoms such as back pain or problems urinating. However these symptoms are seen rarely.

How are dermoid cysts treated?

Dermoid cyst should be treated in surgery. These cysts should be removed as soon as they are noticed. The operation can be made in the form of laparoscopic or open surgery. However, in appropriate cases, the laparoscopic approach should be preferred. Because they are usually observed in women of reproductive age, only the cyst should be removed the ovarian tissue should not be removed or damaged in any way. If the cyst ruptures during the surgery the abdomen should be cleaned carefully. It is important that the materials containing the cyst cell are not left in the abdominal area. Otherwise, a chemical peritonitis may occur. From this perspective, dermoid cyst operations are operations that require specific experience and attention.