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What Does This Transvaginal Ultrasound Report Indicate?

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Posted on Thu, 16 Apr 2015
Twitter Thu, 16 Apr 2015 Answered on
Twitter Tue, 5 May 2015 Last reviewed on
Question : Please provide layman's understanding of transvaginal untrasound radiology report stating "anechoic structures visualized at cervix, two nabothian cysts demonstrated measuring 0.6 x 0.4 x 0.4 and 0.4 x 0.4 x 0.3. No free fluid in pelvis. " I have had pelvic pain for 2 weeks, previously thought to be from e-coli UTI that began 3/6 and resolved 2 weeks ago. Pain persists, PAP and CA 125 clear. Cancer still possible? Will discuss with Gyn but want to understand report sooner that appt set. More details available but other comments state no masses and nothing remarkable. Thanks, XXXXX
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Answered by Dr. Dr. Erion Spaho (21 minutes later)
Brief Answer:
Cancer very unlikely.

Detailed Answer:
Hi, I have gone through your question and understand your concerns.

Nabothian cysts are mucus-filled cysts at end of vagina/ cervix, they are considered as metaplasia ( harmless).

Anechoic means no echoes in ultrasound or dark image. It is produced by fluid-filled cysts or blood vessels in ultrasound.

Chances of cancer are very-very unlikely.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Dr. Erion Spaho (33 minutes later)
How do I get rid of them? Can/should they be removed surgically? And since they cause pain rather than not, should fhey be biopsied?
doctor
Answered by Dr. Dr. Erion Spaho (5 hours later)
Brief Answer:
They can be removed by electrocautery and cryofreezing.

Detailed Answer:
Hi and thanks for asking back.

Nabothian cysts usually are considered harmless and in most cases they disappear on their own.

When there is tendency of growing in follow up examinations, removing these cysts include electrocautery and cryofreezing procedures.

This needs to be disscused with your Gynecologist.

Biopsy is indicated when true nature of cysts is not clear, or when are doubts about malignancy.

Hope this helps. Best regards.
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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What Does This Transvaginal Ultrasound Report Indicate?

Brief Answer: Cancer very unlikely. Detailed Answer: Hi, I have gone through your question and understand your concerns. Nabothian cysts are mucus-filled cysts at end of vagina/ cervix, they are considered as metaplasia ( harmless). Anechoic means no echoes in ultrasound or dark image. It is produced by fluid-filled cysts or blood vessels in ultrasound. Chances of cancer are very-very unlikely. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.