Cervical Cancer Screening- Dobbs Flashcards
What are the high risk types of cervical cancer?
16 & 18
Which types of cervical cancer are associated with genital warts?
6 & 11
What are some RFs for cervical cancer?
- Early onset of intercourse
- Multiple sex partners
- Sex partners who have had multiple partners
- Infrequent or absent pap screenings
- Smoking
What is the screening method for cervical cancer?
Pap Smear
How does a cervical cancer transform cellularly?
Endocervix (inside) consists of simple columnar and ectocervix (outer part) consists of squamous and the transformation zone is where the proliferation occurs
If a patient comes in with pain, abnormal bleeding, etc should we do a pap?
No, not indicated
Cervical CA screening begins at what age? How frequent to get paps?
Age 21 to 29 q 3 years
What is the cervical CA screening guidelines for age 30-65?
Pap smear with HPV co-testing every 5 years or pap alone every 3 years
What is the cervical CA screening guidelines for age >65
No screening necessary after adequate negative prior screenings in the past 10 years (due to the slow growing nature of dysplasia)
Who should get annual HIV screening?
-HIV or immunocompromised patients or women previously treated for cervical cancer
Cervical cancer is classified using what system?
Bethesda system
What is the sequence of pap screening order?
Ok so you have an abnormal pap
- HPV DNA testing is standard
- Biopsy of suspicious lesion is mandatory
- Colposcopy (directly examine cervix) with biopsies is most appropriate histologic technique
