Cervical Screening Flashcards
At what age are women first invited for cervical screening?
24.5 years old
How often are women invited for screening between the ages of 25-65?
Every five years
What women are able to voluntarily withdraw from cervical screening?
Low risk for cervical cancer (e.g always been celibate)
Disability that makes taking sample difficult/distressing
Won’t benefit from screening (e.g terminally ill)
Unable to give adequate sample (e.g genital mutation)
Don’t want to participate
How are women with a negative smear result managed?
Recalled for smear in 5 years
Don’t need colposcopy referral
How are women with positive HPV on smear but negative cytology managed?
Recalled for smear in 12 months
Refer for colposcopy only if 3 consecutive positive samples
How are women with positive HPV and for low grade cytology on smear managed?
Seen within 8 weeks for colposcopy
How are women with positive HPV and for high grade cytology on smear managed?
Seen within 4 weeks for colposcopy
How are women with positive HPV and for glandular abnormality on smear managed?
Seen within 2 weeks for colposcopy
How are women with suspicion of invasion on smear managed?
Seen for colposcopy immediately (within 2 weeks)
What are some features of colposcopy?
Magnification, look at transformation zone, acetic acid and iodine staining, directed biopsy for tissue diagnosis
How is CIN managed?
CIN I = conservative management for 2 years
CIN II = offer treatment
How successful is LLETZ at treating CIN compared to cold coagulation?
Has 95% success rate
Why don’t women under the age of 40 receive cold coagulation?
It’s an ablative technique
How long does cold coagulation treatment last?
Two staged process = usually finished by 3 months
