case_images: PMC11833274_01
case_images: Transvaginal ultrasonographic images of multiple Nabothian cysts and tunnel clusters in the uterine cervix.. Large, small, low-echoic lesions, suggestive of various-sized cysts, are present in the uterine cervix. The large cyst is indicated by an arrow in (A). The small cystic lesions are shown using arrowheads in (A)-(B). The scale bars indicate photographs.
case_images: cureus-0017-00000077643-i01.jpg
case_images: PMC11833274_01_cureus-0017-00000077643-i01.jpg
case_images: FIG1
case_images: At our hospital, transvaginal ultrasonography also confirmed multiple cysts of various sizes in the uterine cervix, with a maximum size of 16 mm (Figure 1).
case_images: Magnetic resonance imaging photos of multiple Nabothian cysts and tunnel clusters in the uterine cervix.. (A)-(C) T2-weighted images (A-B, axial sections; C, sagittal section) of magnetic resonance imaging (MRI) of the uterine cervical lesions. Images (A) and (B) are serial axial sections, and the photograph of (B) shows a more foot-directed section of the photograph in (A). Large, small, high-intensity, and demarcated lesions suggesting cysts are seen in the uterine cervix. In comparison with pathological studies, the two deep Nabothian cysts (NCs) are indicated by arrows and double arrows, and the superficial NCs are indicated by red arrowheads. Most tunnel clusters (TCs) cannot be identified using MRI; however, TCs may be indicated by orange arrowheads as lower-intensity lesions. Two superficial NCs (indicated by red arrowheads) are present on the luminal side of the deep NCs. The scale bars indicate photographs.
case_images: cureus-0017-00000077643-i02.jpg
case_images: PMC11833274_01_cureus-0017-00000077643-i02.jpg
case_images: FIG2
case_images: MRI also confirmed cysts of various sizes, from the inner to the outer halves of the cervical wall (Figures 2A-2C), without abnormal findings in the uterine body and bilateral adnexa. Two large cystic lesions reached the periphery of the uterine wall (Figures 2A, 2C). Smaller cystic lesions were also observed; two small cystic lesions were found on the luminal side of the cervix, near the two large cystic lesions (Figures 2A, 2B).
case_images: Histological features of multiple Nabothian cysts and tunnel clusters in the uterine cervix.. (A)-(D): Multiple superficial Nabothian cysts (NCs) and tunnel clusters (TCs). A low-magnification photo of the 4 o'clock section of the conization tissue is shown in photo (A). Multiple superficial NCs (dots indicate cystic spaces of superficial NCs) and multiple cystic types of TCs (indicated by arrows) are closely and intimately present on the luminal side of the uterine cervix. Photo (B) shows the cystic lesion centrally, including the TC, and the peripheral localization of the NCs. No atypia is seen in the epithelium of NCs and TCs. Photos (B) and (C) are magnified images of the (B) and (C) squares in (A), respectively. Photo (D) is a magnified image of the square in photo (C).. (E)-(H): Deep NC and TC. A low-magnification photograph at the 7 o'clock position of the conization tissue is shown in photo (E). The deep NC (stars indicate cystic spaces of deep NCs), exposed at the vertical margin, and a smaller NC (dots indicate cystic spaces of superficial NCs) are closely present on the luminal side of the deep NC in photo (E). The low cuboidal epithelium of the deep NC shows no atypia in photo (F). A cystic TC is present above the deep NC (G)-(H). Photos (F) and (G) are magnified images of squares (F) and (G) in (E), respectively. Photo (H) is a magnified image of the square in (G).. Black lines in (A) and (E) indicate localization of the stratified squamous epithelium. Triangles indicate uterine cervical canal spaces. The scale bars indicate photographs.
case_images: cureus-0017-00000077643-i03.jpg
case_images: PMC11833274_01_cureus-0017-00000077643-i03.jpg
case_images: FIG3
case_images: From the 3 to 10 o'clock positions, we found multiple small and large cysts, and multiple well-demarcated microscopic nodules with clusters of dilated glandular ducts (Figure 3). NCs and TCs in some areas (Figures 3A, 3B). No squamous intraepithelial lesions were observed.