Nabothian cysts

Question 1

What are Nabothian cysts?

Answer 1

Fluid filled cysts seen on the surface of the cervix

Question 2

How big are Nabothian cysts?

Answer 2

1cm in size but can be larger

Question 3

How do Nabothian cysts form?

Answer 3

The columnar epithelium produces mucus, When the squamous epithelium of the ectocervix slightly covers the mucus secreting columnar epithelium, the mucus becomes trapped and forms a cyst
This can happen after childbirth, trauma or infection

Question 4

Describe the presentation of Nabothian cysts

Answer 4

Usually asymptomatic and incidentally found

Rarely if large may cause a pelvic fullness

Question 5

Describe how the Nabothian cysts look

Answer 5

Smooth rounded bumps on the cervix near to the os

White/yellow appearance

Question 6

Describe the management of Nabothian cysts

Answer 6

Reassurance and no treatment required
If diagnosis is uncertain then excised or biopsied to exclude other pathology
Rarely treated with colposcopy to relieve symptoms