PAP Flashcards
where do we sample with PAP?
ectocervix & endocervix
transformation zone
screening for 21-29 yo
pap only q 3 yrs
screening for 30-65 yo
pap only q 3 yrs OR cotesting q 5 yrs OR HPV only q 5yrs
normal PAP result
normal cytologic appearance + satisfactory pap
what is a satisfactory pap
includes squamous and endocervical cells
what is cytology?
2D sample of cells
name the two abnormal cytology results that are NOT high grade?
ASC-US– undeterminant
LSIL– low grade squamous
what are the 4 high risk cytology results
ASC-H
HSIL
AGC
AIS
what to do if 21-24 w/ ASCUS or LSIL
repeat pap in 1 yr
what to do if 25+ w/ ASCUS or LSIL
check HPV
if HPV(-) then repeat pap in a yr
if HPV + get colpo & Bx
how do we check for HPV in 30+ yo with abnormal cytology
cotesting for HPV
what is reflex testing
when we check for HPV after abnormal cytology in <30 yo
what do we do for all ages w/ HSIL, AGC, AIS
colpo & Bx
what is histology?
a Bx– 3D sample of tissue
results of histology
CIN-1
CIN-2
CIN-3– high risk
