Complex Nabothian cysts: a diagnostic dilemma

• Published in: Archives of gynecology and obstetrics Vol. 279; no. 5; pp. 759 - 761
• Main Authors: Sosnovski, Vladimir, Barenboim, Rafael, Cohen, Hector I., Bornstein, Jacob
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01-05-2009; Springer Nature B.V
• Subjects: Adenocarcinoma, Mucinous - diagnosis; Adult; Case Report; Cervical cancer; Colposcopy; Cysts; Cysts - diagnosis; Cysts - pathology; Cysts - surgery; Diagnosis, Differential; Endocrinology; Female; Frozen Sections; Gynecology; Human Genetics; Humans; Hysterectomy; Magnetic Resonance Imaging; Medicine; Medicine & Public Health; Metaplasia; NMR; Nuclear magnetic resonance; Obstetrics/Perinatology/Midwifery; Ultrasonic imaging; Uterine Cervical Diseases - diagnosis; Uterine Cervical Diseases - pathology; Uterine Cervical Diseases - surgery; Uterine Cervical Neoplasms - diagnosis; Nabothian cyst; Giant complex cervical cyst; MRI; Cervical adenocarcinoma; Hysterectomy; Ultrasound; Adenoma malignum
• ISSN: 0932-0067; 1432-0711
• DOI: 10.1007/s00404-008-0801-6

Background
Multiple and large cysts, located in the cervical stroma, can cause significant enlargement of the cervix.
Case
A woman with two large intracervical cysts, one complex, underwent evaluation with ultrasound and magnetic resonance imaging (MRI). Hysterectomy revealed Nabothian cysts.
Conclusion
In rare cases in which the intracervical cysts assume very large dimensions, ultrasound and MRI can aid diagnosis, but may not always prevent the need for excision or hysterectomy.