abnormal smear Flashcards
What is the most common type of cervical cancer?
90% squamous, 10% adenocarcinoma.
What is the cervical cancer screening programme for ages 25-49?
Every 3 years.
What is the cervical cancer screening programme for ages 50-64?
Every 5 years.
When is cervical cancer screening done for HIV positive individuals?
Every year.
When is cervical cancer screening done post colposcopy?
6 months follow-up and if normal then every 3 years.
When should a smear test be done during the menstrual cycle?
In the middle of the cycle, when you don’t have your period.
How is a smear test performed?
The procedure takes around 5 minutes. A plastic tube is inserted into the vagina to see the cervix, and a brush is used to gently collect cells sent to the lab.
How are the results of a smear test interpreted for borderline dyskaryosis?
Borderline dyskaryosis with a high-risk HPV test: negative - routine recall, positive - colposcopy.
What does a high-risk HPV test indicate for mild dyskaryosis?
High-risk HPV test positive indicates the need for colposcopy.
What is the next step for moderate dyskaryosis detected in a smear test?
Urgent colposcopy is the next step for moderate dyskaryosis.
What is colposcopy?
Colposcopy is a simple procedure to look at the cervix using a microscope and light, and special liquids to highlight abnormal cells.
What is CIN I and its severity?
CIN I is mild dysplasia where atypical cells are found in the lower third of the epithelium.
What is CIN II and its severity?
CIN II is moderate dysplasia where atypical cells are found in the lower two-thirds of the epithelium.
What is CIN III and its severity?
CIN III is severe dysplasia where atypical cells occupy the full thickness of the epithelium, known as carcinoma in situ.
What should a patient avoid 24 hours before a colposcopy appointment?
Avoid sex, tampons, etc.
