122  NABOTHIAN CYSTS

INTRODUCTION Workup and Evaluation

Description: Nabothian cysts are retention cysts of the cervix that Laboratory: No evaluation indicated.
are made up of endocervical columnar cells and that result from Imaging: No imaging indicated.
the closure of a gland opening, tunnel, or cleft by the process of Special Tests: None indicated.
squamous metaplasia. Diagnostic Procedures: Pelvic (speculum) examination.
Prevalence: Normal feature of the adult cervix.
Predominant Age: Reproductive age.
Pathologic Findings
Genetics: No genetic pattern.
Mucus-filled cysts lined with columnar epithelium.
ETIOLOGY AND PATHOGENESIS
MANAGEMENT AND THERAPY
Causes: A cervical gland opening, tunnel, or cleft that is covered by
Nonpharmacologic
the process of squamous metaplasia.
Risk Factors: Chronic inflammation of the cervix. General Measures: Evaluation and reassurance.
Specific Measures: None necessary.
Diet: No specific dietary changes indicated.
SIGNS AND SYMPTOMS Activity: No restriction.
• Asymptomatic Patient Education: Reassurance.
• Translucent or opaque, white to blue to yellow, raised bumps on
the ectocervix (3 mm to 3 cm in diameter)
Drug(s) of Choice
DIAGNOSTIC APPROACH None
Differential Diagnosis
FOLLOW-UP
• Cervical cancer (barrel or undermining type) uncommon
Associated Conditions: None. Patient Monitoring: Normal health maintenance.
Prevention/Avoidance: None.
Possible Complications: Distortion or enlargement of the cervix is
possible but unlikely.

MISCELLANEOUS
Pregnancy Considerations: No effect on pregnancy.
ICD-10-CM Codes: N72 (Inflammatory disease of cervix uteri).

REFERENCES
LEVEL III
Farrar HK, Nedoss BR. Benign tumors of the uterine cervix. Am J Obstet
Gynecol. 1961;81:124.
Stepto RC. Treatment of the Nabothian cyst. Am Fam Physician.
1971;4:82.

Figure 122.1  Stellate laceration with nabothian cysts

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