Screening Cervical Cancer Flashcards
Name 5 consequences of early screening?
- Over diagnosis
- False Positives/Negatives
- Misdiagnosis
- Creation of a false sense of security
- Increased cost on the healthcare system
Name 6 goals of screening programs ?
- Early disease detection
- increased txs options
- widely available and acceptable to those eligible
- low cost
- high sensitivity and specificity
- reducing mortality
Is a screening test a diagnostic test?
NO. just indicates whether or not further investigation is needed.
Where is all cervical screening processed in BC?
BCCA in Vancouver
WHere is all STI etesting for HIV and shypillis done?
At BCCDC in Vancouver
how many strains of HPV can affect the skin around the anogenital area?
approx. 40
Presentations of cervical cancer?
Lesions on cervix, foul-smelling vaginal discharge, abnormal vaginal bleeding, painful intercourse, or bleeding follow sex - must refer if you see lesions malignancy is suspected when lesion bleed with touch, is a growth with an irregular surface or has an offensive discharge
Most common types of cervical cancer?
Sqaumous cell carcinoma and adenocarcinoma
What are the names of pre-cancerous lesions on cervix?
- Squamous Intraepithelial Lesion
- Cervical Intraepithelial neoplasia
- Cervical Dysplasia
What percentage of cervical cancers are HPV 16 and 18 responsible for ?
16 and 18
Risks for Cervical cancer other than HPV are?
Multiple sex partners
weak immune system
smoking
HPV immunization protects against how many strains? and results in protection from what percentage of cervical cancers, cervical pre-cancers and genital warts?
9 strains
90 % of cervical cancers
80% of cervical pre cancers
75% of HPV related vulvar, vaginal and anal cancers and pre-cancers
90% of genital warts
what are the two types of vaccines available in canada and what do they protect against?
Cervarix - HPV 18 and 16 only
Gardasil, 6, 11, 16, 18, 33, 45, 52, 58
