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Naboth; Multiple cysts; Magnetic Resonance Imaging.

Nabothian cysts are small, asymptomatic, non-neoplastic cervical cysts that are frequently seen in women of reproductive age. No medical intervention is needed since the resolve themselves spontaneously [1]. In our rare case in which a woman of 52 years old with a recent diagnosis of 2 myofibroma via pelvic ultrasound has underwent an MRI to further characterize those lesions. The MRI showed in addition to 2 voluminous fibromas multiple cysts that caused compression of surrounding viscera and further aggravate her symptoms related to mass effect such as constipation and urinary incontinence (Figure 1).

Figure 1: Sagittal MRI on T2-weighted sequence showing multiples small cystic lesions ranging in diameter from 7 to 14 mm (yellow circle) located in the endocervical canal with no noted enhancement, in addition to a voluminous myometrial masse lateralised on the right, well limited, High on T2WI, the lesion appear adjacent to the serosa with a homogenous enhancement reflecting a stage FIGO 5 myofibroma measuring 71x 63 mm(red arrow).

Large and/or multiple nabothian cysts, especially deep nabothian cysts, are difficult to distinguish from minimal-deviation adenocarcinoma (MDA) [2]. Furthermore, neither cytology nor histology helps substantially discern the two entities. Very few case reports featuring those too entities has been trying to characterize them using MRI. Overall nabothians cysts are usually low on T1WI and high on T2WI, the cyst walls are smooth and not enhanced with intravenous Gadolinium In contrast to MDA. The absence of a watery discharge and an MR image displaying a round or oval cyst without enhancement after intravenous gadolinium are helpful in the diagnosis of nabothian cysts.

1. Shroff N, Bhargava P (2021) . Radiol Case Rep 16: 1473-1476.

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2. Oguri H, Nagamasa M, Chiaki I, Tomoaki K, Yorito Y, et al. (2004) . Magn Reson Imaging 22: 1333-1337.

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