Flashcards in Cervical HPV CPC Deck (12)
With regards to cervical cancer, HPV is...
Necessary, but not sufficient.
What are 4 risk factors for cervical carcinoma other than HPV infection? (2 are likely surrogates for HPV infection)
Multiple sexual partners: >6
Early age of first sexual intercourse.
Do you have to have to have penetrative intercourse to contract HPV?
Apparently not. Can probably be spread by hands, any sort of contact.
3 outcomes of Squamous Intraepithelial Lesions (SIL)?
Regress, persist, progress (to carcinoma)
What do you do if Pap smear yields ASC-US in a woman over age 25?
Reflex HPV testing.
Cotesting can allow you space out testing intervals to every 5 years... in some cases, depending on the algorithm flow chart blah blah blah.
Which HPV genotype is the most carcinogenic?
(HPV 18 is a little less so)
Do HPV infections (or at least the lesions thereof) sometimes clear?
Yep. And you can wait for that to happen before treating aggressively.
What cancer does Pap smears fail to screen for?
What percentages of women with cervical cancer in the US have never had a Pap smear / not had one in the past 5 years?
50% have never had one.
10% not in the past 5 years.
What can you use to see evidence of transformation during colposcopy (not histology)?
Acetic acid -> causes transformed areas to turn white.