The Pap Smear, Cervical Dysplasia, and Cancer Flashcards
Where do most of the neoplasias arise in the cervix?
-the SCJ
Which HPV types cause the majority of cancers?
-16, 18, 31, 45
Which HPV typse are associated with genital warts and with low grade lesions?
-6 and 11
If girls are under 21, should they get a pap smear?
-No!
how often should women 21-29 get paps?
-cytology alone every 3 years
women 30-65 paps?
-HPV and cytology cotesting every 5 years
If a woman is >65 and there is an adequate negative prior screening, does she need screening anymore?
-no
do women need a screening after hysterectomy?
-no
What is the system that interprets the pap smear?
-the Bethesda system
If a woman has atypical squamous cells of undetermined significance on cytology, what do we do?
- either repeat cytology or do HPV testing (preferred)
- if there’s something wrong, then do colposcopy
- if HPV negative, repeat every 3 yrs
if HPV is present, what do we do?
- colposcopy
- if LSIL with negative HPV test, then repeat cotesting @ 1 year
What can we do if a woman has HSIL?
- immediate loop electrosurgical excision
- or colposcopy (with endocervical assessment)
What is considered the gold standard for diagnosis and treatment planning for cervix stuff?
-colposcopy
What is colposcopy?
- -binocular stereomicroscope with variable magnification
- cervix washes with 3% acetic acid… dehydrates cells and large nuclei of abnormal cells turn white
What are the white abnormal cells on colposcopy called?
-Acetowhite changes
