Aug27 A3-HPV_pap_tests_and_colposcopy Flashcards
(EXAM) Bethesda system: management of pap test if negative for intraepithelial lesions
repeat pap test in 2-3 years
(EXAM) Bethesda system: management of pap test if ASCUS (atypical squamous cells of unknown significance)
- <30 yr old: repeat pap test at 6 and 12 mo. refer if the ASCUS persists
- > 30 yr old: do HPV testing. if +, refer to colposcopy. if -, repeat pap test in 1 year.
(EXAM) Bethesda system: management of pap test if ASC-H, LSIL, HSIL, AGC-NOS, AGC-N and AIS
colposcopy
(EXAM) main indication of colposcopy
cytologic abnormalities on pap test
- ASCUS and HPV+
- ASC-H
- LSIL
- HSIL
- AGC
- AIS
- cancer
(EXAM) other indications for colposcopy
- gross or palpable cervical ulcer, mass or growth
- concern for cancer on visual exam
- vulvar or vaginal HPV-associated lesion
- unexplained lower genital tract bleeding
- post-surgical follow-up examination
- history of in utero DES exposure
(imp) LSIL def
low grade squamous intraepith lesion
(imp) HSIL def
high grade squamous intraepith lesion
instrument for pap test that takes both squamous (deep) and columnar (superficial) cells
brush
(imp) LSIL (CIN1) (on pap test) treatment
follow in colposcopy in 1 year
(imp) HSIL (CIN2 and 3) (on pap test) treatment
LEEP: loop electrosurgical excision procedure
(imp) AIS (adenocarcinoma in situ) seen on pap test treatment
CONE surgery of cervix (with scalpel)
(imp) carcinoma (squamous cell or adenocarcinoma) on pap test
referral to gyne-oncology for surgery or chemo-radiation
