Cervical CA Screening Flashcards
what system failures lead to cervical cancer?
- women don’t come for screen
- Providers don’t screen
- colposcopy for abnormal screen isn’t done
- pt doesn’t get proper therapy
(Persistent/Transient) HPV puts a woman at risk for cancer?
Persistent
the area where the columnar cells and the squamous cells of the cervix meet is called the ______ zone
what virus really likes this zone?
Transformation
HPV
are liquid pap test better or worse than cervical smears
better!!
liquid pap preps are (lower/higher cost)
you can test ___, ____, and ____
you can test during ____ or after ____
higher cost
HPV, gonorrhea, chlamydia
Menses, coitus
Pap smears are less sensitive for ___ neoplasia
glandular
GUIDELINES!!!
- NO pap for who?
- how often should 21-29 y.o. get pap?
- 30+ yrs should get pap + HPV e. ___ yrs
- 65 (with 3 normal paps in last 10 yrs)
- e. 3 years (if normal)
- 5
if a pap comes back “unsatisfactory”, what is your next step?
repeat in 2-4 months
if + for HPV–> colposcopy
If a pt’s pap comes back with CIN I, what are the chances is progresses to cancer?
12-16% chance
___% of patients with HSIL have invasive cancer, however up to __% with HSIL will develop cancer if it is left untreated
2%
20%
Carcinoma in Situ Must have some type of ____ treatment regardless of age
ablative
what pap results need colposcopy?
LGSIL
HGSIL
ASCUS-H
what f/u tx should you perform is a pap is Normal cytology with HPV +
repeat in 1yr
what f/u tx should you perform is a pap is ASCUS HPV-
Repeat in 1yr
new recommendation is can repeat in 3 yrs
what f/u tx should you perform is a pap is ASCUS HPV +
repeat in 1 yr
HPV typing or colposcopy
How should the following CIN stages be treated?
I-____
II- ____
III- ___
I: just watch may not turn to cancer for 20 years or very high rate of regression
II: even here observation is preferred but treatment is acceptable
III: treatment is recommended
for a woman who is 21-24 y.o. with Low risk for invasive cervical cancer, but HIGH risk for HPV exposure and HPV associated lesions…. what should be the approach?
OBSERVE
what do the following mean? Unsatisfactory\_\_\_ ASC-US \_\_\_ LSIL \_\_\_ ASC-H \_\_\_ HGSIL or HSIL \_\_\_ AGUS \_\_\_ CIS \_\_\_\_
Unsatisfactory-no endocervical component
ASC-US atypical squamous cells
LSIL -low grade squamous intraepithelial lesion
ASC-H ascus cannot exclude a high grade lesion
HGSIL or HSIL high grade squamous intraepithelial lesion
AGUS atypical glandular cells
CIS carcinoma in situ
You can get HPV by having___, ___ or ___ with someone who has the virus. Anyone who is ____ can get HPV, even if you have had sex with only one person.
vaginal, anal, oral sex
sexually active
HPV is most commonly spread during ___ or ___ sex
vaginal or anal sex
___ is the most common STI
HPV
T/F: HPV is so common that nearly all sexually active men and women get it at some point in their lives.
T
T/F: HPV can be passed only when an infected person has symptoms.
F: HPV can be passed even when an infected person has no signs or symptoms.
how long after infection can you develop symptoms?
years after you have sex with someone who is infected
makes it hard to know when you first became infected.
