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  • Q&A with Australian Health Practitioners

    What could the the pea-sized lump inside the cervix be?

    Related Topic
    Women's Health
    Pap smear negative, vaginal ultrasound lump not detected. The lump (1 cm inside cervix ) is not discoloured and is the same colour as all cervical tissue. Second small lump detected in the vaginal wall 5mm inside the cervix. Very lethargic.
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    Thanks

    Dr Shian Miller

    Gynaecologist, Obstetrician

    Dr Shian Miller is a Brisbane Obstetrician Gynaecologist who has rooms on Wickham Tce in Brisbane city and admitting rights at Greenslopes Private Hospital. She … View Profile

    Hi,

    Hard to give an answer without all the information - but the short answer would be: you should see a gynaecologist for a colposcopy. If you have already seen a gynaecologist, then you should probably get a second opinion as it seems you are still unclear what is going on.

    From the information you have given, it sounds like a Nabothian cyst - where a gland on the cervix has become blocked. They are very common, are usually small but can be very large, and are completely benign. If it is a Nabothian cyst, nothing needs to be done.

    Of course, there are also many other causes of lumps on or in the cervix including cancer, other cysts, polyps, warts, fibroid etc. The only real way of finding out would be to see a gynaecologist for a colposcopy and possibly a biopsy.

    Keep in mind that pap smears are not designed to detect cancer - only precancerous changes. So even a negative pap smear does not rule out cancer. This is why those with normal pap smears but an unusual looking cervix, abnormal bleeding, abnormal discharge or any unusual complaint should see a gynaecologist for a check.

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