Cervical Screening Flashcards
1
Q
Which cancers can be caused by high risk HPV?
A
Cervix Penis Vulva/vagina Anus Mouth Oropharynx
2
Q
How do the HPV test and cytology test differ?
A
HPV test
- machine
- identifies infection (could be transient or CIN associated)
- sensitive
Cytology
- human interpretation
- identifies cellular changes (low grade - persisting infection/CIN1; high grade - CIN2/3)
- specific
3
Q
What happens if a sample comes back positive for high risk HPV?
A
If cytology is normal - repeat test in 1 year
Dyskaryosis - refer to colposcopy
4
Q
What are the high risk types of HPV?
A
Mainly 16 & 18, but also 31 and 45
5
Q
How is CIN treated?
A
LLETZ
Thermal coagulation
Laser ablation
6
Q
What does follow up after treatment of CIN involve?
A
Follow up LBC at 6 months for cytology and high risk HPV
