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    Referensi CK2

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    Rahma Ulfa
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    Referensi CK2

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    of 1

    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

    252

    Downloaded for Rahma ulfa Mukhtar ([email protected]) at Universitas Muslim Indonesia from ClinicalKey.com by Elsevier on March 22, 2018.
    For personal use only. No other uses without permission. Copyright ©2018. Elsevier Inc. All rights reserved.

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