Cervical screening programme Flashcards
1
Q
How many lives saved per year with cervical screening
A
4500
2
Q
Number of women who have cervical screening every year
A
3.1 million
3
Q
Unscheduled screening should not happen in these categories of pts
A
- On taking, or starting to take, an oral contraceptive
- On insertion of an intrauterine contraceptive device (IUD)
- On taking or starting to take hormone replacement therapy (HRT)
- In association with pregnancy (antenatally or postnatally)
- On being diagnosed with genital warts or pelvic infection
- Due to heavy cigarette smoking
- Due to having multiple sexual partners
4
Q
Women should be ceased from the cervical screening programme
A
- Having undergone total hysterectomy (women with a subtotal hysterectomy remain at risk and should remain in the programme)
- Congenital absence of the cervix
- Being a male-to-female transsexual
- Having undergone a radical trachelectomy for cervical cancer
5
Q
Cancer wait and referral standards for colposcopy
A
- No more than two months (62 days) from referral to a cancer screening service to first treatment for cancer
- no more than one month (31 days) from diagnosis (decision to treat) to first treatment for all cancers
6
Q
F/up after hysterectomy
A
- For women on routine recall and with no CIN in their hysterectomy specimen, no further vaginal vault cytology is required
- Women not on routine recall, and with no CIN in their hysterectomy specimen, should have vaginal vault cytology at six months following their hysterectomy
and then ceased if the cytology is negative - Women who undergo hysterectomy and have completely excised CIN should have vaginal vault cytology at six and 18 months following their hysterectomy
7
Q
F/up after hysterectomy of incompletely excised CIN
A
- CIN 1: vault cytology at six, 12 and 24 month
- CIN 2/3: vault cytology at six and 12
months, followed by nine annual vault cytology samples - Follow up for incompletely excised CIN continues to 65 years or until ten years after surgery
