Differential Diagnosis for Nabothian Cysts and Fluid in Endometrial Cavity
- Single Most Likely Diagnosis
- Nabothian cysts with benign endometrial fluid accumulation: This is the most likely diagnosis given the presence of multiple Nabothian cysts, which are benign lesions formed by the obstruction of mucous glands in the cervix, and a small amount of fluid in the endometrial cavity, which can be a normal finding or related to various benign conditions.
- Other Likely Diagnoses
- Endometrial polyps: These are growths in the lining of the uterus (endometrium) and can cause a small amount of fluid to accumulate in the endometrial cavity. They are often associated with Nabothian cysts.
- Cervical stenosis: This condition, where the cervical canal is narrowed, can lead to accumulation of fluid in the endometrial cavity and is sometimes associated with Nabothian cysts.
- Endometrial hyperplasia: A condition characterized by the thickening of the endometrium, which can lead to fluid accumulation and is often found in conjunction with other benign conditions like Nabothian cysts.
- Do Not Miss Diagnoses
- Endometrial cancer: Although less likely, it is crucial not to miss this diagnosis. Endometrial cancer can present with fluid in the endometrial cavity and must be ruled out, especially in postmenopausal women or those with risk factors.
- Cervical cancer: Similarly, cervical cancer, although rare, can present with Nabothian cysts and fluid accumulation. It is essential to perform a thorough evaluation to rule out malignancy.
- Rare Diagnoses
- Müllerian anomalies: Rare congenital anomalies of the uterus that can lead to abnormal accumulation of fluid.
- Uterine sarcomas: Rare and aggressive tumors of the uterus that can present with fluid accumulation and other nonspecific symptoms.
- Endometrial tuberculosis: A rare condition that can cause fluid accumulation in the endometrial cavity, often associated with systemic symptoms of tuberculosis.