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Complex Nabothian cysts: a diagnostic dilemma

  • Case Report
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

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.

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References

  1. Oramoto Y, Tanara YO (2003) MR Imaging of the uterine cervix: imaging-pathologic correlation. Radiographics 23:425–445. doi:10.1148/rg.232025065

    Article  Google Scholar 

  2. Yamashita Y, Takahashi M (1994) Adenoma malignum: MR appearances mimicking nabothian cyst. AJR 162:649–650

    PubMed  CAS  Google Scholar 

  3. Clement PB, Young RH (1989) Deep Nabothian cysts of the uterine cervix. Int J Gynecol Pathol 8(4):340–348. doi:10.1097/00004347-198912000-00005

    Article  PubMed  CAS  Google Scholar 

  4. Tambouret R, Bell D, Young R (2000) Microcystic endocervical adenocarcinomas: a report of eight cases. Am J Surg Pathol 24(3):369–374. doi:10.1097/00000478-200003000-00005

    Article  PubMed  CAS  Google Scholar 

  5. Oguri H, Maeda N, Izumiya C, Kusume T, Yamamoto Y, Fukaya T (2004) MRI of endocervical glandular disorders: three cases of a deep Nabothian cyst and three cases of a minimal-deviation adenocarcinoma. Magn Reson Imaging 22(9):1333–1337. doi:10.1016/j.mri.2004.08.013

    Article  PubMed  Google Scholar 

  6. Jemal A, Siegel R, Ward E et al (2007) Cancer statistics 2007. CA Cancer J Clin 53:43

    Article  Google Scholar 

  7. Cervical cancer screening in developing dountries, Report of a WHO consultation. Published in collaboration by Programme on cancer control, Department of Reproductive Health and Research. World Health Organization, Geneva 2002

  8. Zaino RJ (2000) Glandular lesions of the uterine cervix. Mod Pathol 13(3):261–274. doi:10.1038/modpathol.3880047

    Article  PubMed  CAS  Google Scholar 

  9. Okamoto Y, Tanaka YO, Nishida H (2004) Pelvic imaging: multicystic uterine cervical lesions. Can magnetic resonance imaging differentiate benignamcy from malignancy? Acta Radiol 45(1):102–108. doi:10.1080/02841850410003293

    Article  PubMed  CAS  Google Scholar 

  10. Tsuda K, Murakami T, Kurachi H, Ogawa H, Oi H, Miyake A, Narumi Y (1997) MR imaging of cervical carcinoma: comparison among T2-weighted, dynamic, and postcontrast T1-weighted images with histopathological correlation. J Abdom Imaging 22(1):103–107. doi:10.1007/s002619900151

    Article  CAS  Google Scholar 

  11. Sugiyama K, Takenara Y (2007) MR findings of pseudoneoplastic lesions in the uterine cervix mimicking adenoma malignum. Br J Radiol 80(959):878–883. doi:10.1259/bjr/16282081

    Article  PubMed  CAS  Google Scholar 

  12. Umesaki N, Nakai Y, Honda K, Kawamura N, Kanaoka Y, Nishimura S (1998) Power Doppler findings of adenoma malignum of uterine cervix. Gynecol Obstet Invest 45:213–216. doi:10.1159/000009959

    Article  PubMed  CAS  Google Scholar 

  13. Dubinsky TJ, Reed SD (2003) Intracervical sonographic–pathologic correlation. J Ultrasound Med 22:61–67

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Western Galilee Hospital-Nahariya, The Rappaport Faculty of Medicine, Hatechnion University, P.O. Box 21, 22100, Nahariya, Israel

    Vladimir Sosnovski, Rafael Barenboim & Jacob Bornstein

  2. Department of Pathology, Western Galilee Hospital-Nahariya, The Rappaport Faculty of Medicine, Hatechnion University, P.O. Box 21, Nahariya, 22100, Israel

    Hector I. Cohen

Authors
  1. Vladimir Sosnovski
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  2. Rafael Barenboim
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  3. Hector I. Cohen
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  4. Jacob Bornstein
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Corresponding author

Correspondence to Jacob Bornstein.

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Sosnovski, V., Barenboim, R., Cohen, H.I. et al. Complex Nabothian cysts: a diagnostic dilemma. Arch Gynecol Obstet 279, 759–761 (2009). https://doi.org/10.1007/s00404-008-0801-6

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  • DOI: https://doi.org/10.1007/s00404-008-0801-6

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