Cervical Cancer Screening Flashcards
When to screen for cervical cancer in HIV pts?
onset of sexual intercourse
time of diagnosis. screen
annually until >3 normal results then routine testing
When to screen for cervical cancer in immunosuppressed (SLE or organ tranplant) pts?
onset of sexual intercourse
annual pap test with HPV cotesting
When to screen for cervical cancer if patient is <21 yrs?
no screening
When to screen for cervical cancer if pt is between 21-29?
cytology every 3 years
When to screen for cervical cancer if pt is 30-65 yrs?
cytology every 3 years OR cytology plus HPV testing every 5 yrs
screening for pts >65 yrs
no screening if negative prior screens for past ten yrs or low risk
what is the screening for pts who have hysterectomy with cervix removed
no screening if negative prior screens and low risk
what is low risk of cervical cancer?
no history of high grade squamous intraepithelial lesions,
no tobacco use, sexually transmitted infection, multiple sexual partners, or immunosuppression.
What defines proper adequate screening?
3 consecutive negative PAP tests within 10 yrs or most recent within the last 5 years
2 consecutive negative HPV tests in last 10 years and most recent in last 5 years
what’s the risk for cervical cancer for women who have a supracervical hysterectomy (intact cervix) ?
it’s the same as woman with regular uterus so needs to follow guidelines as regular women.
HPV high risk strains are:
16 and 18
risk factors for cervical cancera are:
early onset of sexual activity, multiple sex partners, tobacco use, immunosupression.
who should get yearly pap smears?
people with inflammatory bowel disease because at greater risk for cervical dysplasia.
When can pap smears be discontinued?
stopped at age >65 years and have adequate screening (3 neg pap smears or 2 negative HPV tests in last 10 years) and no prior high grade squamous intraepithelial lesions.
