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Retinal cysts of the cervix
Last reviewed: 23.04.2024
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Due to the inflammatory process occurring in the vaginal part of the uterus, blockage of the excretory ducts may occur. As a result, closed and enlarged glands with a significant accumulation of secretions called retention cysts of the cervix uteri are formed. Over time, their volume begins to increase, which requires immediate medical intervention.
ICD-10 code
The international classification of diseases includes pathological neoplasms in the cervix. According to the code for μb 10, retention cysts refer to non-inflammatory lesions of the ovaries, fallopian tubes and the wide ligament of the uterus. They are marked by a special number (N83). However, this does not include hydrosalpinx (N70.1).
- N83.0 The ovarian follicular cyst. This category includes the cyst of the graafial follicle and the haemorrhagic follicular cyst of the ovary.
- N83.1 Yellow body cyst. Here belong the hemorrhagic cyst of the yellow body.
- N83.2 Other and unspecified ovarian cysts. Including the retention cyst, a simple cyst and an ovarian cyst. Exceptions are ovarian cysts resulting from abnormal development (Q50.1). This category does not include the neoplastic cyst (D27) and polycystic ovary syndrome (E28.2).
Causes of retention cysts of the cervix
To affect the development of cysts is a violation of the outflow of mucus from paracercient glands. The causes of the formation of retention cysts of the cervix are hidden in the presence of chronic and acute diseases of the reproductive system. They can grow up against the background of non-compliance with the basic rules of personal hygiene between a man and a woman. Frequent replacement of the sexual partner entails a change in microflora, which contributes to the development of inflammatory processes. Often, this is affected by abortions, special intrauterine spirals and not careful research of the uterine cavity using instruments.
Cysts of this type are not inherited and as a result of sexual contact. They can not negatively affect the hormonal background of a woman. This indicates that cysts do not change the standard menstrual cycle. For the same reason, they are not able to influence the intensity of bleeding.
In the presence of a cyst, a woman can easily give birth to a child, it does not affect pregnancy and does not pose a danger in the course of a natural birth process. Retention cysts can not become malignant. Finally, they do not affect the intensity of physical exertion.
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Pathogenesis
Retention cyst is a cellular formation in the cervix. In fact, this is an ordinary pouch or as it is called a vial, inside of which is a slimy secret. It is formed due to blockage of the excretory duct. Mucous secret is the "product" of the glandular gland. This is the pathogenesis of this education in the cervix.
Cysts are in the vaginal third of the cervix. They are based on small glandular cells. Their main function is secret production and the formation of a specifically protective layer of mucus. Negative effects of certain factors lead to clogging and sloughing of epithelial cells. Closed duct does not allow secrets to go out, this process contributes to the development of the cyst.
The retention cyst can be either single or multiple. Sometimes neoplasms are localized in whole groups in the cervix of the uterus. On average, the size of the cyst varies from a few millimeters to centimeters.
Symptoms of cervical retention cysts
This neoplasm in the cervix is incapable of manifesting itself. A woman can conceive a cyst for years and not know about its existence. The formed vesicles do not affect the hormonal background of the woman at all. They can not lead to a change in the menstrual cycle or affect the intensity of bleeding. Retinal cysts of the cervix do not show any significant symptoms.
They can be detected only with preventive gynecological examination. An experienced doctor is able to confirm the diagnosis. Externally the cyst is similar to a white mucous seal. It is located in the zone of transformation of the cervix. The cyst is characterized by a small size.
Symptoms of its presence are manifested when a woman suffers from an endometriodine cyst. This can lead to the appearance of bloody discharge a few days before the expected menstruation.
If a woman has not visited a gynecologist for a long time and the cyst has developed seriously, a certain symptomatology may appear. Often there are bleeding, not associated with menstruation. Perhaps the appearance of pain in the lower abdomen, without reason for this. During sexual intercourse, painful sensations can be observed. Without excitation from the vagina, there may be a discharge. There is such a symptom is extremely rare.
First signs
Retention cysts do not manifest themselves at all. Therefore, the first signs are absent. A gynecologist is able to notice the presence of a tumor during a routine preventive examination. The retention cyst is a small white seal. Its size can vary from a few millimeters to centimeters.
In cases where a woman suffers from an endometriodine cyst, the symptomatology may manifest itself. However, this is due not to the retentional neoplasm, but to the very endometriodine cyst. When one pathology is applied to another, certain symptoms develop. A woman is beset with spotting that is not associated with menstruation. Sexual intercourse with a constant partner is accompanied by painful sensations. Possible pain in the lower abdomen, the appearance of strange discharge. All this requires an immediate trip to the gynecologist.
Multiple retentive cervical cysts
This condition is due to the influence of certain factors. Multiple retention cysts formed in the cervix are associated with special causes. Affect this process can erode the cervix, which has not been cured to the end. Quite often causes a cyst mechanical trauma and termination of pregnancy. In most cases, multiple neoplasms are associated with hormonal disorders. Retention cysts can develop against a background of menopause, infectious diseases and childbirth.
To detect them it is possible at preventive examination at the gynecologist. Cysts have no symptoms and do not affect the state of health of a woman. Regular visit to the gynecologist will not only detect them in time, but also start a qualitative elimination. The first step is to determine the cause, because of which cysts appeared. This will allow you to choose the right treatment aimed at eliminating the negative factor and the cyst itself.
Effects
Retention cysts do not pose a threat to the life of a woman. However, with the impressive size of the neoplasm, there is a risk of developing a chronic inflammatory process. Over time, it can move to the direction of the uterine cavity. Therefore, timely cyst removal is the best solution. It can lead to deformation of the external pharynx with further protrusion of the mucous membrane of the canal to the outside. This consequence will affect the quality of life of the fair sex.
Mucous cervical canal does not have a good defense system. The remainder of the vaginal cervix is able to withstand any abnormalities. This indicates that when the cyst grows and the situation worsens, the cervical canal suffers. Inflammatory process in this area can not subside, which leads to a general weakening of the cervix.
Complications
If the cyst is characterized by a large size, there is a risk of maintaining a focus of the inflammatory process. In this case, the complication concerns the cervical canal of the cervix, in particular, its mucosa. This site does not have good protective functions, so the inflammatory process can not only remain there for a long time, but also worsen. Over time, this leads to the proliferation of the mucosa and the seizure of new areas, including the uterine cavity.
Inflammatory process affects the weakening of the protective functions of the cervix. As a result, mechanisms that can lead to premalignant changes can be activated. In this case, the risk of developing cervical cancer increases.
Eliminate or not cyst, the woman decides. This is her choice and no one can insist on an operative intervention. However, it is necessary to understand that in case of aggravation of the situation there is a risk of developing cancerous tumors.
Diagnosis of cervical retention cysts
Diagnostic procedures do not cause any difficulties. The first step is a standard examination of a woman using special mirrors. If there is a suspicion of having a cyst, the doctor directs the patient for additional studies. Diagnosis of the retention cyst of the cervix involves the delivery of a general analysis of blood and urine. Due to this, it is possible to determine the quantitative composition of the main components in "raw materials". An increase in the number of leukocytes indicates the development of the inflammatory process.
In addition, a blood test for STDs, hormones and oncomarkers is given. It is necessary to exclude the possibility of developing a malignant neoplasm. The microflora of the cervix is also subject to examination. Cytological and histological research is aimed at studying a piece of tissue obtained from the focus of the inflammatory process. Along with this, ultrasound of the pelvic organs is performed.
All diagnostic measures are aimed at determining the main reason for the development of the cyst. After all, in most cases this is due to the presence of gynecological pathology and its complicated course.
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Analyzes
Before assigning a qualitative and correct treatment, it is necessary to undergo a series of diagnostic studies. Thanks to the analysis of blood and urine, you can learn about the root causes of this process and identify possible complications.
The first step is to take a swab. This will allow to refute / confirm the probability of having a premalignant change. In most cases, a cervical biopsy is necessary. It will allow you to clarify the preset diagnosis.
A woman will have to pass tests for infections that are sexually transmitted. Take a swab from the outer throat of the cervix. This will determine its flora.
By results of analyzes it will be clear, for what reason there was a cyst and how it should be deleted. However, in order to establish the correct diagnosis, it is necessary to resort to differential and instrumental diagnostics.
Instrumental diagnostics
A special place is given to ultrasonic research. In instrumental diagnostics, ultrasound is one of the most important places. Assign it to almost 100% of all cases. Naturally, if necessary, ultrasound is combined with other equally effective diagnostic methods. Among them are: colposcopy, smears from the vagina and examination of the pelvic organs.
Ultrasound can detect any abnormalities, including changes in the structure of the cervical tissue. The action of this method is aimed at monitoring blood supply to the pelvic organs, their size and the presence of tumors.
Ultrasound of the cervix is practically no different from the ultrasound of the uterus itself. When viewed on the bottom of the woman's belly, a special gel is applied, after which a special sensor moves there. If there is an opportunity to do a transvaginal examination, the pelvic organs are examined from the inside. This method is used in the event that the external ultrasound does not allow to get an accurate picture of what is happening. If you suspect a cyst, an ultrasound is mandatory.
Differential diagnostics
Diagnostic measures to identify the cyst are aimed at determining the reason why it arose and to confirm the main diagnosis. Differential diagnosis includes the study of blood and urine for the presence of leukopenia. An increased number of leukocytes indicates the development of the inflammatory process.
Together with this, a blood test is performed on hormones and oncomarkers. This will eliminate precancerous changes in the cervix. In addition to a blood test, a smear is applied to the flora. This is especially important if the woman does not have a permanent partner.
If a cyst was found during a visual inspection, a cytological and histological examination is performed to confirm its good quality. They are aimed at studying a piece of material from the focus of the inflammatory process. On the basis of differential and instrumental diagnostics, an accurate diagnosis can be made.
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Treatment of cervical retention cysts
Eliminate retention cysts only surgically. No medication in this case will not help. The most modern and effective methods are used to remove cellular neoplasm. Treatment of retention cysts of the cervix can be performed by: electrocoagulation, cryocoagulation, laser excision, endoscopic removal and radio wave therapy.
The cyst is chosen by the doctor, based on the general condition of the patient and the prevalence of the cyst. Treatment is selected individually. This is influenced by the result of diagnostic studies. Thanks to him you can find an effective way to eliminate cysts. After surgery, the patient takes medication. Most often, doctors prescribe the following groups of drugs: antibiotics and anti-inflammatory drugs. Together with taking medication, it is necessary to make a correction of nutrition, to resort to the help of physiotherapy exercises and general restorative measures.
Medications
Drug therapy is aimed at speeding up the healing process and removing the inflammatory process. In this case, treatment involves the use of antibiotics and anti-inflammatory drugs. To activate the healing process use intravaginal suppositories, in particular, Depantol. As effective antibiotics act: Ceftriaxone, Erythromycin and Ketoconazole. Anti-inflammatory therapy implies the use of: Viferon, Kiproferon and Genferon.
- Depantol. Suppositories are applied 2 times a day, in the morning and in the evening. One candle is enough to achieve the necessary therapeutic effect. They need to be used 10 days after the operative intervention. The duration of therapy is 7-10 days. The remedy can not be used in case of intolerance of its main components. May lead to the development of an allergic reaction.
- Ceftriaxone. The agent can be used both intramuscularly and intravenously. Dosage is appointed individually, this also applies to the duration of therapy. Use the drug is not possible with hypersensitivity, and liver-kidney failure. Medication can lead to the development of nausea, vomiting and diarrhea. However, adverse reactions are extremely rare.
- Erythromycin. Before using the drug, it is necessary to carry out a test for the sensitivity of microflora to it. The dose of the medication is prescribed individually. Usually the dosage is 0.25 mg 4-6 times a day. Use the drug is not possible with kidney failure and hypersensitivity. May lead to the development of gastrointestinal disorders.
- Ketoconazole. The drug is taken once a day. The duration of therapy is prescribed by the attending physician. Medication can not be used for hypersensitivity, during childbearing and liver failure. May lead to the development of allergic reactions and disorders from the gastrointestinal tract.
- Viferon, Kiproferon and Genferon. These drugs have the same effect and are used in a certain dosage. They are used as a suppository once a day. The duration of therapy does not exceed 10 days. Use medicines can not be hypersensitive to their main components. May lead to the development of allergic reactions.
Alternative treatment
Eliminate retention cysts through alternative methods, perhaps. However, they should not be used without the approval of the attending physician. Basically, alternative treatment can be used after surgical removal of the cyst.
- Recipe number 1. It is necessary to boil 7 eggs and extract yolks from them. In the shredded form they are mixed with a glass of pumpkin seeds, ground into a powder. To the mixture is added 500 ml of vegetable oil. All this languishes in a water bath and is taken in by one teaspoon daily.
- Recipe number 2. Burdock has an excellent effect on the resorption of the cyst. To prepare an effective remedy, it is necessary to take the leaves of a fresh plant and grind it. It is not the burdock itself, but its juice. Take it necessary for a month. It is enough one teaspoon 2-3 times a day.
- Recipe number 3. Excellent properties are acacia. If you use it with a burdock, the effect will be much better. To prepare the tincture, mix 2 tablespoons of acacia with a glass of alcohol. Insist the drug is necessary for 10 days, periodically shaking. The resulting infusion is filtered and applied to one tablespoon up to 3 times a day. The duration of therapy is one month.
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Herbal Treatment
In the fight against pathological processes in the cervix, aloe has proved particularly effective. The essence of the treatment is the use of tampons wetted with juice plants. Aloe has a pronounced reparative effect. It is able to eliminate not only the cyst, but also help in the fight against erosion of the cervix. Treatment with herbs should also be accompanied by the approval of a specialist.
A wonderful action has and burdock. It is advisable to use not its leaves, but roots. Of these, a decoction is prepared, in which the tampons are used, which are subsequently used as suppositories. Burdock has a pronounced tanning effect on the cervical epithelium.
Well-proven snake mountaineer. It has a pronounced reducing effect on the cervix. However, treatment is symptomatic. Similar properties have ordinary wormwood. It is used in the form of tampons. True, there is a risk of burns.
Homeopathy
Homeopathic treatment is always aimed at healing the whole body. If there is a cyst, homeopathy helps to eliminate the causes that led to the development of the pathological process. In most cases this is preceded by hormonal failure. Before using homeopathic medicines, you should consult your doctor.
An experienced homoeopathic physician should conduct an individual examination of the patient. Including tests for hormones. This will help to choose the right and effective drug. Homeopathic remedies should have a beneficial effect on the patient's body and restore its normal functioning.
With the normalization of the hormonal balance, the cyst is able to retreat independently. However, this is not always possible. Do without surgical intervention is unlikely to succeed. Homeopathic remedies can be used as maintenance therapy after the removal of pathological formation.
Operative treatment
After the exact diagnosis is made, the doctor chooses the main way to remove the cyst. It is made exclusively by a surgical method. The retention cyst is not able to dissolve under the influence of any medication. Operative treatment in this case is the most expedient decision. Experiencing this is not worth it. Modern methods of removal will allow the operation to be carried out quickly and minimize the likelihood of complications.
The whole process is as follows. The first thing the doctor prepares the patient for the operation. Then the cyst is punctured and its contents deleted. Then everything is treated with a special solution and after a few hours the patient can go home on her own. Being in a hospital is not implied. There are no complications after surgery. For 2 days, there may be a discharge that can change its coloration to yellowish. After 7 days, everything will pass without a trace. To accelerate the healing process, the patient should use special suppositories 10 days after surgery.
Removal of the cervical cyst can be done in several ways.
- Cauterization. This method is the most popular. As a result, his cyst is cauterized using a variety of medications.
- Radio wave mode. This technique is relatively new. It is more often prescribed to women planning a pregnancy. The cyst is eliminated by means of a high-frequency radio wave. Then treatment with special preparations follows.
- The laser method. It is carried out using a device that generates a laser beam. At the same time, he does not contact the mucous membrane of the cervix completely. This technique is not used so often.
- Cryotherapy. This method of treatment is based on the effect of low temperatures and liquid nitrogen. This process is not accompanied by painful sensations. In modern clinics, his help is often used.
Prevention
In addition to treating cysts, do not forget about preventive measures. They are aimed at preventing the development of this process. Prevention should be carried out if a woman suffers from an irregular menstrual cycle, she has uterine bleeding and constantly changes pressure. In the risk zone, representatives of a perfectly sex floor suffer from edema, frequent mood swings. All this indicates a hormonal failure. If it is not started in time to eliminate, the probability of development of cysts is not ruled out.
At occurrence of any negative symptomatology from the genital system it is necessary to address to the doctor. This will reveal the main cause of this condition and start effective treatment.
Your own health should be carefully monitored. Self-medication can not be done in any case. This can aggravate the situation.
Forecast
With timely and proper treatment, no danger to the life of a woman is observed. Usually the forecast is favorable. If the cyst was detected during a preventive examination and did not have time to develop, it is quickly and qualitatively eliminated. To do this, resort to surgical methods of removal.
If the cyst has developed and led to a vast inflammatory process, there is a risk of a precancerous condition. In this case, the cyst should be removed immediately. But before this, special studies are being conducted. They are necessary to confirm / disprove the development of the precancerous process.
In most cases, the retention cyst does not cause a woman inconvenience. Its presence does not affect the menstrual cycle and the bearing of the child. Moreover, a woman can freely give birth to a cyst. Therefore, the forecast is mostly favorable.
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