Nabothian cyst
Nabothian cyst

Nabothian cyst

Definition:
A nabothian cyst is a mucus-filled cyst on the surface of the uterine cervix.

Causes, incidence, and risk factors:

The cervical canal is lined by glandular cells that normally secrete mucus. These endocervical glands can become covered by squamous epithelium in a process called metaplasia.

These nests of glandular cells (nabothian glands) on the cervix may become filled with secretions. As secretions accumulate, a smooth, rounded lump may form just under the surface of the cervix and become large enough to be seen or felt upon examination.

Each cyst appears as a small, white, pimple-like elevation. They can occur singly or in groups, and they are not a threat to health. The cysts are more common in women of reproductive age, especially those who have already had children.



Symptoms:

There are no observable symptoms.



Signs and tests:

Pelvic examination reveals a small, smooth, rounded lump (or collection of lumps) on the surface of the cervix. Rarely, a colposcopic examination is necessary to distinguish nabothian cysts from other types of cervical lesions.



Treatment:

No treatment is necessary. However, nabothian cysts do not spontaneously clear. They can be easily cured through electrocautery or cryotherapy. Both procedures can be done in the doctor's office.



Expectations (prognosis):

This is a benign condition.



Complications:

Rarely, cysts may become so numerous or enlarged that the cervix becomes clinically enlarged.



Calling your health care provider:

This condition is usually discovered during a routine pelvic examination.



Prevention:

There is no known prevention.




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