Wednesday, February 22, 2023

Strange cysts of the cervix

Nabothian cysts in 3 different patients. 
The above is a 3D ultrasound image 👆
Both transabdominal and transvaginal ultrasound images are shown. 

Ultrasound findings of Nabothian cysts:
Top differential diagnoses of Nabothian cysts on ultrasound include:

Cervical cancer: Irregular mass with heterogeneous echotexture, abnormal vascularity, and invasion of surrounding tissue.
Endometrial polyps: Pedunculated mass arising from the endometrium with hyperechoic foci.
Bartholin gland cyst: Cystic mass near the vaginal opening with thin walls and posterior enhancement.

Diagnostic features of Nabothian cysts on ultrasound include:

Round or oval-shaped anechoic or hypoechoic cystic structures on the cervix.
Smooth, thin, and regular walls with posterior acoustic enhancement.
Cysts may vary in size and number, and may contain debris or low-level echoes.
Absence of vascularity within the cystic structure or surrounding tissue.
Accurate diagnosis of Nabothian cysts is crucial to avoid unnecessary treatment and to monitor any changes in size or appearance. A skilled sonographer or radiologist can differentiate Nabothian cysts from other cystic lesions and malignancies.
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Nabothian cysts are common benign cysts that can form in the cervix of the uterus.

General information:
Sonography is a non-invasive imaging technique that can be used to diagnose Nabothian cysts.
During a sonography, a transvaginal ultrasound probe is inserted into the vagina to visualize the cervix and uterus.
Nabothian cysts appear as small, fluid-filled cysts of the cervix on the sonogram.
Sonography can also be used to differentiate Nabothian cysts from other cystic lesions and to monitor the size and growth of the cysts over time.
In most cases, Nabothian cysts do not require treatment and will resolve on their own over time.
However, in rare cases, they may cause discomfort or become infected and require medical attention.
Sonography is a valuable tool in the diagnosis and management of Nabothian cysts of the cervix.
If there are unusual symptoms or discomfort in the pelvic region, it is important to have an evaluation and appropriate management.
Regular gynecological exams and sonography can help detect and manage Nabothian cysts early.


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