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Ovarian Teratoma. Treatment in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnosis of ovarian teratoma
584
Chemotherapy of teratoma with Cisplatin (1 course)
1620
Surgery treatment of ovarian teratoma
2130

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology and Obstetrics

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Diagnosis of ovarian teratoma
2053
Chemotherapy of teratoma with Cisplatin (1 course)
5755
Surgery treatment of ovarian teratoma
6708

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnosis of ovarian teratoma
1823
Chemotherapy of teratoma with Cisplatin (1 course)
5533
Surgery treatment of ovarian teratoma
6683

Leverkusen Clinic

10/10
location_onGermany, Leverkusen

Department of Gynecology, Urogynecology, Mammology and Obstetrics

The Leverkusen Clinic is a progressive provider of high-quality diagnostic and therapeutic services in Germany. The medical facility is an Academic Hospital of the University of Cologne, and also maintains close cooperation with the Rhine Research Center. The medical facility houses 12 specialized departments, as well as numerou
Diagnosis of ovarian teratoma
1792
Surgery treatment of ovarian teratoma
6219

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnosis of ovarian teratoma
1955
Chemotherapy of teratoma with Cisplatin (1 course)
5526
Surgery treatment of ovarian teratoma
6595

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics and Reproductive Medicine

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Diagnosis of ovarian teratoma
2569
Chemotherapy of teratoma with Cisplatin (1 course)
6668
Surgery treatment of ovarian teratoma
7964

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Obstetrics, Adult and Pediatric Gynecology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Diagnosis of ovarian teratoma
0
Chemotherapy of teratoma with Cisplatin (1 course)
0
Surgery treatment of ovarian teratoma
0

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnosis of ovarian teratoma
2030
Chemotherapy of teratoma with Cisplatin (1 course)
5350
Surgery treatment of ovarian teratoma
6257

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Gynecology, Mammology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnosis of ovarian teratoma
2838
Chemotherapy of teratoma with Cisplatin (1 course)
4998
Surgery treatment of ovarian teratoma
9068

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Obstetrics, Adult and Pediatric Gynecology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnosis of ovarian teratoma
2010
Chemotherapy of teratoma with Cisplatin (1 course)
5885
Surgery treatment of ovarian teratoma
6967

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnosis of ovarian teratoma
1891
Chemotherapy of teratoma with Cisplatin (1 course)
5588
Surgery treatment of ovarian teratoma
6600

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gynecology and Mammology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnosis of ovarian teratoma
2087
Chemotherapy of teratoma with Cisplatin (1 course)
5105
Surgery treatment of ovarian teratoma
6279

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gynecology and Mammology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnosis of ovarian teratoma
2513
Chemotherapy of teratoma with Cisplatin (1 course)
5102
Surgery treatment of ovarian teratoma
8153

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnosis of ovarian teratoma
2081
Chemotherapy of teratoma with Cisplatin (1 course)
5112
Surgery treatment of ovarian teratoma
6293

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Gynecology, Mammology and Obstetrics

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnosis of ovarian teratoma
2101
Chemotherapy of teratoma with Cisplatin (1 course)
5881
Surgery treatment of ovarian teratoma
6838

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnosis of ovarian teratoma
2153
Chemotherapy of teratoma with Cisplatin (1 course)
5033
Surgery treatment of ovarian teratoma
7187

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Gynecology, Obstetrics

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnosis of ovarian teratoma
2009
Chemotherapy of teratoma with Cisplatin (1 course)
4956
Surgery treatment of ovarian teratoma
6381
| from Booking Health GmbH

Content

  1. Why do ovarian teratomas occur?
  2. What are the symptoms of ovarian teratoma?
  3. Diagnosis
  4. Treatment of ovarian teratoma
  5. After surgery
  6. Ovarian teratoma and fertility
  7. Prognosis
  8. Where to undergo cancer treatment in Germany?
  9. Cost of treatment
  10. How to go for cancer treatment in Germany?

 

Ovarian teratoma or mature cystic teratoma belongs to the germ cell tumors.

The main cause of the development of tumors is a violation of the normal maturation of embryo tissues. Such a phenomenon leads to the fact that the germ cell tumors contain the embryonic rudiments of several organs that may be located far from this anatomical structure. This way, ovarian tumors can consist of muscle, bone tissues, and have the elements of primitive organs in their structure.

Why do ovarian teratomas occur?

 

Teratomas are tumors formed during the pregnancy and therefore consist of embryo cells.

One of the most likely causes of the development of teratogenic ovarian tumors is anomalous embryogenesis which is a consequence of chromosomal abnormalities. Simply put, the main cause of ovarian tumor formation is the pathological maturation of tissues of the future fetus. That is why such tumors have signs of some organs which should not be present in the specific anatomical structure. Often, ovarian teratomas contain small elements or particles of skin, hair, muscles, or nervous and lymphatic tissues.

These tumors are considered benign. However, experts note that in some cases the tumor can undergo a malignant transformation and invade the surrounding tissues. Then the removal of ovarian tumors becomes a more complex task for doctors.

What are the symptoms of ovarian teratoma?

 

For mature tumors, the asymptomatic clinical course or mild clinical manifestations are typical. Teratomas often become an accidental finding during examination for other reasons. They can also manifest themselves with mild pulling or bursting pain in the lower abdomen that resembles period pain in women. With large ovarian tumors, increased abdomen, frequent urination or difficulty urinating and defecation are possible. An increase in the size of the abdomen is most typical for patients with asthenic physique. The menstrual cycle is not disturbed.

Sometimes ovarian teratomas are first detected in women after pregnancy. This may be due to the acceleration of the growth of the neoplasm against the background of hormonal changes, increased pressure on the uterus and pelvic organs, or torsion of the teratoma stem. Torsion of the stems of the ovarian tumors is accompanied by intense pain. It is a medical emergency requiring surgery.

In the absence of timely medical help, necrosis of the ovarian teratoma wall is possible. It is followed by rupture of the cyst with the spreading of its contents into the abdominal cavity and the development of peritonitis. In pregnant women, torsion of the cyst stem can lead to fertility problems, miscarriage, or premature birth. Ovarian teratomas in pregnant and non-pregnant patients can also lead to the development of the inflammatory process that is manifested by severe pain, weakness, and an increase in body temperature.

With immature teratomas, fatigue and pain in the lower abdomen along with other symptoms are observed. At the advanced stages of malignant teratomas, patients suffer from cancer intoxication in combination with dysfunctions of organs affected by distant metastases. Most often, metastases in the lungs are detected.

Diagnosis

 

With a vaginal-abdominal or recto-abdominal gynecological study, the ovarian tumors are palpable in the form of an elastic, rounded, and painless formation, that is located above the uterus or on the side of the uterus.

In gynecology, for the diagnosis of ovarian tumors patients undergo ultrasound scan of small pelvic organs with a transvaginal and transabdominal transducer. During the ultrasound scan, the size of tumors, the intensity of their blood supply, and the echo density of its contents are assessed. In doubtful situations, the diagnosis of mature cystic teratomas is confirmed with the help of computed tomography and MRI.

In patients with the complicated ovarian tumors, laparoscopy is performed. Blood tests for tumor markers are necessarily prescribed to women with suspicion for ovarian teratoma. This makes it possible to determine whether a tumor is malignant or benign. In the process of diagnosis making, the mature cystic teratomas are differentiated from other types of cysts and malignant ovarian tumors.

Treatment of ovarian teratoma

 

The first-line approach to cancer treatment in the case of ovarian teratomas is carrying out surgery. The volume of surgery depends on the size and localization of tumors, the presence of complications, the age of patients, etc.

There are different methods of performing surgery. However, if patients complain of severe complications connected with ovarian tumors, there’s only one optimal approach to surgery, i.e. to conduct surgery immediately.

In other cases, the choice of specific surgery depends on the size and the localization of tumors. In most cases, laparoscopy is used. This is a minimally invasive surgery during which small cuts are made in the abdominal wall and millimeter tools and video camera are introduced through them into the abdominal cavity. During the laparoscopy ovarian tumors can be studied and, if necessary, removed.

There are two basic approaches to performing surgery for ovarian teratoma, i.e. laparoscopy and laparotomy.

Laparoscopic surgery causes a minimal injury to the tissues during the excision of the formation in the ovary. The approach is effective with tumors that haven't reached 5 cm in size. The duration of manipulation is no more than an hour. In 3-5 days after the procedure, a woman is discharged from the hospital. However, not all ovarian tumors can be removed using laparoscopic surgery. For women with large formations or if there is a suspicion for a malignant tumor, a cut of the abdominal wall is required.

Based on the required volume of the intervention, the ovary may be preserved or may be removed.

Removal of the malignant tumor of the ovary with maximum sparing of healthy ovarian tissue is indicated to young patients who want to preserve the reproductive potential. The incision of the ovarian tissue is made very carefully, in order not to damage the capsule teratomas are usually surrounded with. The blood vessels in the region of surgery are coagulated. Pregnancy planning is recommended to patients no earlier than one year after surgery.

Removal of the ovary together with a fallopian tube is prescribed to women during menopause. Such a volume of surgery is connected with lower risks of the subsequent malignant process. Surgery is carried out laparoscopically or via laparotomy. Recovering after surgery is almost painless; patients can be active already 2-3 hours after the surgery. The period of postoperative hospitalization recommended for women is 1-2 days. Patients can plan pregnancy in 3-6 months after surgery.

In most cases, surgery allows to maintain the usual lifestyle, and the risk of malignant recurrence is virtually reduced to zero.

After surgery

 

After the surgery, patients receive conservative therapy. Vitamins and minerals, and anti-inflammatory agents help patients to recover quicker.

To prevent the malignant relapse, a healthy lifestyle with refusal from alcohol and smoking is recommended. The diet also has a beneficial effect on patients’ recovery after cancer treatment. After ovarian teratoma treatment, patients need to exclude fatty foods, eat more food enriched with retinol, selenium-containing food, products rich with phosphorus and potassium.

Women planning to conceive must undergo the follow-up examinations. All patients who underwent therapy need to visit the gynecologist once every six months.

Ovarian teratoma and fertility

 

As a rule, ovarian teratomas of small size do not cause discomfort in pregnant women and do not cause violations of the child's intrauterine development. However, with an increase in teratoma size, complications may arise. In this case, urgent surgery is required.

If an ovarian teratoma of fewer than 5 centimeters in size is detected during pregnancy, a woman needs continuous follow-up. With a larger neoplasm or in the case of its growth, surgery is required.

To prevent possible malignant relapse when conducting a C-section, a teratoma is removed simultaneously. With natural delivery, patients undergo planned cancer treatments or surgeries to remove cysts.

Hormone fluctuations during pregnancy may provoke the malignant transformation. Moreover, both malignant and benign tumors can compress organs in the abdominal cavity, which can cause different complications, including fertility problems.

Prognosis

 

With timely removal, the prognosis for patients with ovarian teratoma is favorable. The malignant recurrence occurs rarely. After the surgery, preventative examinations with visiting the gynecologist and undergoing ultrasound scan are recommended for patients twice a year.

Where to undergo cancer treatment in Germany?

 

Leading German hospitals to undergo ovarian cancer treatment in are:

  • University Hospital Rechts der Isar Munich
  • University Hospital Tuebingen
  • Leverkusen Clinic
  • University Hospital Ulm
  • University Hospital Carl Gustav Carus Dresden

Feel free to check out the profiles of mentioned German hospitals on the Booking Health website.

Cost of treatment

 

The price for cancer treatment or the overall cost of treatment in German hospitals is calculated separately in each specific situation. The stage of the malignant process, the complexity of its treatment, and the number of procedures involved in cancer treatment are all taken into account.

The cost of treatment in Germany depends on its type and duration. In oncology, predicting the whole course of therapeutic measures in advance is very difficult. Therefore, accurately calculating the upcoming costs is also hard.

The prices for ovarian teratoma diagnostics in German hospitals start at 584 EUR. The cost of treatment with surgery in German hospitals starts at 2,200 EUR. The price for cancer rehabilitation starts at 951 EUR per day.

To get a consultation on the cost of treatment in your case, leave a request on the Booking Health website.

How to go for cancer treatment in Germany?

 

Many cancer patients ask this question, knowing that Germany is the leader in successful cancer treatment.

Going abroad for treatment is a step-by-step process, and a misstep at any of the stages can make patients start over. For this not to happen, patients trust Booking Health with organizing their treatment abroad.

Booking Health works with the best German hospitals to provide clients with the most effective cancer care. Besides, for your comfort Booking Health deals with all organizational issues that may arise during the arrangement of cancer treatment in Germany.

You can leave a request on the Booking Health website to begin a journey towards your recovery.

 Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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