Pap smear slideshare As per our study, maximum number of cases 184/200 (92%), diagnosed on Pap smears correlated on histopathology. Jun 22, 2015 · 44. For complete visualization anterior vaginal wall retractor must be used. Nov 9, 2020 · 2. Therefore, pap smears have important role in screening cervical lesions. Sep 15, 2020 · This document summarizes a seminar presentation on cervical cancer screening. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 14 Spray with Fixative • Within 10-15 seconds • Allow to fully dry before packaging • Cytologic Fixative Apr 2, 2016 · MANAGEMENT APPROACH - A lesion that persist after 1-2 years or any progression during follow up suggest need of treatment - If HPV testing is available, +ve HPV: indication for treatment - Treatment- local ablative/ excission -Follow up after treatment for CIN1 -repeat smear in 6/12 -repeat smear and colposcopy in 12/12 -If normal, yearly pap Jul 8, 2010 · The new pap guidelines recommend the following key changes: 1. Nov 23, 2017 · Một phân tích gộp khác so sánh xét nghiệm tế bào ThinPrep nhúng dịch so với xét nghiệm PAP quy ƣớc ghi nhận độ nhạy, tƣơng quan với mô học, là 68% ( PAP quy ƣớc) và 76% (ThinPrep), độ chuyên biệt là 79% ( PAP quy ƣớc) và 86% (ThinPrep). It then describes visual inspection with acetic acid (VIA) and visual inspection with Lugol's iodine (VILI) as alternative screening methods that are simpler, cheaper, and do not require a laboratory. 8 per 100,000) among all types of cancer in women. 8. Beginning at age 30 ,the preferred way to screen with Pap Test combined with HPV test every 5 years. IARC CancerBase No. Apr 24, 2018 · Cervical cancer is caused by human papillomavirus (HPV) and is the most common gynecologic cancer in women globally. Apr 16, 2023 · WHEN TO DO PAP SMEAR? • All women have initial pap smear test no later than 21 years old. When operational circumstances disallow prompt sending of the slides, they can be held for weeks to months without significant loss of readability. The slides are gently and thoroughly washed in running tap water so that all the traces of acid is removed. In 1924, George Papanicolaou and Ernest Ayre developed the pap smear as a method for detecting cervical cancer by examining cells collected from the cervix under a microscope. Epidemiology. Cervical and Vaginal Cytology - (99 slides) (120 slides) Conventional Pap Smear Study Set; Preferred Specimen(s) One smear fixed immediately with spray fixative or 95% ethyl alcohol. 16,000 cases / year Incidence but mortality from cervical cancer over the past 50 years Cervical CA is still the 7th most common cancer in females and the 8th most common cause of death. Table of contents. Oct 13, 2016 · 42. Predicting the cellular response of a tumour Mar 4, 2017 · The document discusses upcoming changes to Australia's National Cervical Screening Program in 2017. Study - Priya S. Jul 20, 2019 · Obtaining sample of exfoliated cells (dead cells that are shed) of cervix and simple test to look at cervical cells Also called Papanicolaou tests or cervical cytology The specimen should be obtained 2 weeks after the first day of LMP taken by brushing or scraping Purpose of pap smear test . Many terminologies were used. It is a histological and cytopathological staining technique used to differentiate cells in a smear preparation. ThinPrep Pap test supplies are available from the Hospital Storeroom: Item ID 92189 tray of 25 Thinprep Pap test vials and Item ID 92190 bag of 25 collector . The nuclei have delicate even chromatin. Introduction and an overview of the evolution of the Pap smear to cervical cancer screening as it is today. Function of the cervix; Squamous epithelium; The columnar epithelium of the endocervix Histopathology and Cytopathology of the Uterine Cervix - Digital Atlas. Women that had even a single Pap smear in their history had a lower incidence of cancer. It describes obtaining a cervical cell sample, the timing of the test in relation to a woman's menstrual cycle and sexual activity. Collection Instructions. Key changes include replacing the pap smear with an HPV test, increasing the screening interval from 2 to 5 years, starting screening at age 25 instead of 18-20, and using self-collection methods to improve participation. Generally the high level of progesterone (placental) do not allow the complete maturation of the squamous epithelium. For women in their 20s with normal immune systems and no previous abnormal pap results, pap smears can now be done every 2 years instead of Sep 6, 2013 · This document provides information on abnormal Pap smear results and cervical cancer screening. May 3, 2023 · Specimen type: conventional smear, liquid based preparation or other Specimen adequacy (mandatory) Satisfactory or unsatisfactory for evaluation Satisfactory Adequate number of well visualized or preserved squamous or squamous metaplastic cells Conventional smear: minimum of 8,000 to 12,000 cells Liquid based preparation: minimum of 5,000 cells Aug 22, 2023 · 1. et al18(2018) A study to assess the incidence of Pap smear abnormalities among antenatal woman presenting to hospital. Oct 26, 2018 · This document summarizes the Pap smear examination results of a 39-year-old HIV-positive female patient. There were multiple poorly defined gradations which were poorly reproducible. pap smear - Download as a PDF or view online for free Jan 7, 2014 · #8: Conventional Pap (CP) smear •Microscopically, the uneven distribution of cellular material associated with the CP smear pattern is evident. Cervical Cancer Screening 2023- the modern “Pap smear” Many clinicians still refer to all screening as a Pap smear, but you are likely getting one of these tests: A Pap test (similar to a Pap smear) but more accurate An HPV test which screens for 14 types of HPV. In taking a Pap smear, a speculum is used to gather cells from the outer opening of the cervix of the uterus and the endocervix. During colposcopy, acetic acid is applied to help identify abnormal areas, which appear white. The committee hopes this is a first step in providing a general framework for more standardized quality Pap reporting practice. Nov 26, 2023 · It notes that while pap smears are no longer the gold standard, they can still effectively screen for cervical cancer when performed and interpreted correctly. : In this method, smears are intentionally air dried, but if smears • are not correctly made artifacts will result. Cervical biopsies are defined and the types, indications, contraindications, procedures, and possible complications are outlined. The accuracy obtained using the suggested texture-based features exceeds that obtained using shape-based features. A pap smear is done to look for changes in cervical cells before they turn into cancer. Mar 31, 2024 · This document provides information about pelvic examinations and pap smears. The research work on cervical cytology moved on a speed in 1920 after discovery of pap smear screening by George Papanicolaou; The detailed format of the workshop was published later on as The Bethesda System ( TBS ). A Pap smear is a screening test to detect precancerous and cancerous lesions of the cervix in order to treat them and reduce cervical cancer rates. Babita Rajesh Chauhan provides a comprehensive guide to everything you need to know about Pap smears. Allow the slides to dry completely before placing them in the Pap smear container. This FAQ covers topics such as when and why to get tested, what to expect during the Mar 9, 2013 · Conventional pap smear Liquid based preparations 8. detection of malignant cells or precancerous lesions in the body 2. Sep 27, 2024 · A Pap smear is a vital screening test for detecting cervical cancer and abnormalities in women. used SVM as well as ANN to classify single-cell images captured from Pap smear slides into benign and malignant tumors. Regular Pap smear screening can prevent up to 70% of cervical cancers. Outline pap smear as screening toool Review cervical histology Describe proper pap smear technique Review Bethesda 2001 terminology Practice management of pap smear results using case studies. PAP smear • The Papanicolau test (also called Pap smear, Pap test, cervical smear, or smear test) is a screening test used in gynaecology to detect premalignant and malignant processes in the ectocervix. • Avoid in the presence of obvious vaginal infection. Khurana, MD BACKGROUND: The cervical cancer screening recommendation for transgender female-to-male (FTM) patients is the same Jun 14, 2022 · It may require a few dips to 1 min or even longer, depending on the thickness of the smear. Mar 31, 2010 · A Pap smear is a test that examines cells from a woman's cervix to check for cervical cancer or pre-cancers. Atypical cells are found arranged singly, in sheets and in clusters throughout the smear. Aug 21, 2014 · Cervical Cancer & Pap Smears. They concluded that clinicians should make every Apr 18, 2021 · A pap smear is a screening test used to detect potentially cancerous and precancerous changes to cells in the cervix. COMMON CAUSES OF FALSE-POSITIVE PAP TEST • Atrophic smear • Multinucleated cells • Pseudoparakeratosis • Parakeratosis • Lower uterine segment sampling • Perinuclear halo in non-koilocytes • Squamous metaplasia • Tubal metaplasia • Arias–Stella Reaction • Reactive/repair Dec 19, 2014 · Pap’s Smear Faktor-faktor yang Mempengaruhi Pap Smear Umur Perubahan sel-sel abnormal pada leher rahim paling sering ditemukan pada usia 35-55 tahun dan memiliki resiko 2-3 kali lipat untuk menderita kanker leher rahim Sosial ekonomi Golongan sosial ekonomi yang rendah sering kali terjadi keganasan pada sel-sel mulut rahim, hal ini karena Mar 29, 2022 · Pap Smear A Pap smear, also called a Pap test, is an exam a doctor uses to test for cervical cancer in women. Liquid based prep-min 5000. On initial examination, the patient was found to have an inflammatory smear with a high nuclear-to-cytoplasmic ratio and irregular, hyperchromatic nuclei. Stemmer, MBA, CT (ASCP); and Kamal K. Pap smear does not always detect cervical cancer. Williams, MD, MSc; Vinita Kukkar, MD; Melissa N. Label conventional slides on the frosted end using a graphite pencil (NOT a pen, marker, wax pencil or crayon). Bukan kankerKebanyakan hasilnya adalah infeksi kemudian pasien diminta untuk berobat dan melakukan kontrol ulang dalam 4-6 bulan untuk mengulang pap smear. Unfortunately, in countries that don’t have access to cervical cancer screening , it remains the second most common type of cancer (17. 1. (Table 2) V. It is recommended for women between 21-65 years old every 3-5 years, depending on age. It is a polychromatic stain that uses multiple dyes to differentially stain various components of the cells. Giới thiệu Phết tế bào âm đạo (xét nghiệm Pap smear) là một xét nghiệm tế bào học để tìm những tế bào bất thường trong lớp biểu mô cổ tử cung . It then covers the Pap test procedure and interpretation, abnormal result categories like ASC-US, LSIL, HSIL, and AGC. Mostly numbers and term dysplasia. The document discusses Pap smear tests and cervical biopsies. . Air-drying followed by hematological stains like May – Grunwald –Giemsa (MGG): • Diff Quick, Giemsa etc. • Avoid smear-taking during menstruation. Sedangkan hasil pap smear abnormaldibagi menjadi 3 hasil utama :1. Vì độ nhạy của xét nghiệm phết mỏng tế Aug 27, 2014 · 2. , spatulas, glass slides, fixative, stains, microscopes) Marker/pencil/glass writer/labels Cytology requisition forms Record books or sheets Cytology correlations on histopathology. detection of asymptomatic or precancerous cervical lesions in women 3. Jul 20, 2014 · It begins by explaining the limitations of Pap smear screening in developing countries due to infrastructure and resource constraints. It discusses the prevalence and mortality rates of cervical cancer globally. It can also reveal changes in your cervical cells that may turn into cancer later. As with conventional Pap smears, slides prepared with the ThinPrep® 2000 System are examined in the context of the patient’s clinical history and information provided by other diagnostic procedures such as colposcopy, biopsy, and human papillomavirus (HPV) testing, to determine patient management. Sep 7, 2013 · Case -12 q A 26-year-old woman presents with a history of a previously abnormal Pap smear at age 18. Sep 25, 2013 · It retracts posterior vaginal wall. Jul 10, 2024 · Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 13 Make Pap Smear • As thin as possible • Properly labeled 14. The conventional Papanicolaou (Pap) smear analysis is an effective method to diagnose cervical pre-malignant and malignant conditions by analyzing swab images. It provides definitions of Pap smear tests and describes the procedures, including preparation, instruments used, and roles of nurses. Body Fluids • Fluid from the cavities ( pleural, pericardial and peritoneal) are obtained by paracentesis • 50-100ml of fluid is aspirated and put in the anticoagulant ( EDTA-1mg/ml, 3. - Older women who have had many normal Pap smears in a row and have been regularly screened are highly unlikely to have an abnormal Pap smear. It also provides guidance on pre-test instructions for patients, the procedure steps, and The material obtained can be rinsed into liquid medium (ThinPrep Pap test), our preferred method, or, only exceptionally, spread on one or two glass slide slides (conventional Pap smear). recommended for : 1. Impression: normal smear with endometrial cells. assessment of female hormonal status in case of sterility and endocrine disorders 4. Nuclear features are easily appreciated, despite this being a conventional Pap smear. Study with Quizlet and memorize flashcards containing terms like The Pap smear test was developed to detect which? A. Evolution of the Pap smear to cervical cancer screening today; 2. USES OF ORAL EXFOLIATIVE CYTOLOGY Early detection and control of oral cancer, microbial diseases (candidiasis and viral infections) and dermatological lesions (pemphigus) Assessment of nutritional iron deficiency Forensic dentistry (age and sex determination) Study of conditions like diabetes mellitus, smoking, alcoholism, pregnancy, and ageing. Oct 10, 2014 · 3. Screening through Pap smear testing and HPV DNA testing can detect pre-cancerous lesions early and reduce cervical cancer incidence and mortality rates. a branch of General Cytology which deals wit the microscopic study of cells that have been desquamated from the epithelial surfaces. It was designed to provide uniform diagnostic language to facilitate communication between cytologists and clinician 3 general categories Within Normal Limits Slideshow 1933804 by anthea Apr 15, 2012 · Chlamydia is an obligate intracellular bacterium that causes trachoma, a leading cause of preventable blindness, as well as sexually transmitted diseases like pelvic inflammatory disease; it has a unique developmental cycle alternating between infectious elementary bodies and metabolically active reticulate bodies; symptoms can range from eye infections to urethritis and proctitis depending on This document provides instructions for performing a Pap smear test. Sep 1, 2001 · Over the years, the Papanicolaou (Pap) smear has proved to be one of the most successful methods of cancer detection available. Apr 13, 2023 · 5. Patient's name must be written in pencil on frosted end of slide(s). May 10, 2014 · 2. Vaginal cancer C. # 9 : ThinPrep (TP) Pap Test Same Patient •Tissue architecture is maintained but the ThinPrep process rearranges the relationship of cell groups and provides a more even distribution of cells and Nov 18, 2022 · 3. Ensure Pap Smear properly collected ,labeled & documented Pap smear to be started 3 years after vaginal intercourse,no earlier than age 21 Women aged 21 -29 years ,should be test every 3years . The document provides guidance on pap smear interpretation, management of May 9, 2024 · 10. Once a common disease, invasive cervical cancer is now a relatively Apr 9, 2016 · No douching or usage of vaginal medications, lubricants, or spermicides within 2-3 days of exam (these products may hide abnormal cells) Schedule Pap Smear between days 12-16 of menstrual cycle, if possible Abstain from intercourse 1-2 days prior to smear 15 Jan 2, 2024 · The Pap Test, also known as a Pap smear, is a screening test used to detect abnormalities in the cells of the cervix, which is the lower part of the uterus that connects to the vagina. S. Objectives. The primary focus of current research is on use of image analysis as a primary screening device, where Pap smear slides are translated into digitalized images for automated image analysis. Various computer vision techniques can be explored to identify potential precancerous and cancerous lesions by analyzing the Pap smear image. Slides that are identified by automated image analysis as possibly abnormal are passed on for manual interpretation. Histologic evaluation of cervical biopsy primary tool. Jun 10, 2015 · 3. Used in Gynae OPD for following procedures : Taking Pap Smear , Insertion and removal of Copper T , Colposcopy ,Taking swabs, Hyseterosalpingography (HSG) Use in Gynae Operations : D&C , Cervix Biopsy , Vaginal Hysterectomy , Fothergills Jul 18, 2014 · MANAGEMENT OF ABNORMAL PAP SMEAR. Faktor-faktor yang Mempengaruhi Pap Smear Umur • Perubahan sel-sel abnormal pada leher rahim paling sering ditemukan pada usia 35-55 tahun dan memiliki resiko 2-3 kali lipat untuk menderita kanker leher rahim Sosial ekonomi • Golongan sosial ekonomi yang rendah sering kali terjadi keganasan pada sel-sel mulut rahim, hal ini karena ketidak mampuan melakukan pap smear secara rutin. To detect early cancer of the cervix To determine estrogen activity related to menopause or endocrine Jul 28, 2014 · Papanicolau Smear (Pap Smear). • Avoid within 24 hours of intercourse. • A Pap smear is usually part of a pelvic exam and accompanied by a breast exam • A sample of mucus and cells will be obtained from the cervix and endocervix using a To date, the collection is composed of 1,160 slides. Dec 22, 2013 · Endometrial cells Conventional smear Exodus pattern is characterized by a double contour pattern of external glandular epithelium with internal stromal cells. Nov 13, 2016 · Colposcopy is a procedure that magnifies and illuminates the cervix, vagina, and vulva to examine them for abnormalities. Jun 19, 2023 · The pap smear test screens for cervical cancer by checking for abnormal or precancerous cervical cells and HPV. Aug 1, 2019 · Single Pap-stained Cervical Smear of 38 years female (Conventional cytology) Smear shows superficial, intermediate, and parabasal cells along with few endocervical cells. BETHESDA SYSTEM 2001. Once dry and packaged, it is best to send them out promptly for interpretation. Pengantar • IVA (Inspeksi Visual Asam Asetat) adalah suatu metode deteksi dini terhadap lesi pra kanker dengan mengaplikasikan asam asetat 3-5 % pada daerah sambungan skuamo kolumnar (SSK) • Tes Pap adalah suatu metode deteksi dini terhadap lesi pra kanker dengan cara mengambil spesimen berupa sel-sel ekskoliatif dari daerah serviks • Pemeriksaan tes Pap membutuhkan bantuan dari ahli Dec 13, 2014 · Used in OPD for routine examination. Vaginal medications, The original Pap smear test used slides to examine cells. • Avoid within 48 hours of use of vaginal creams or pessaries or douching. Only one slide D. • 3 years after onset of sexual intercourse. Oct 23, 2012 · This document outlines the procedures for performing a Pap smear test. 3 yrs after onset of sexual intercourse . Edited by Frappart L, Fontaniere B, Lucas E, Sankaranarayanan R Sep 4, 2013 · 30. Screening intervals are yearly until age 30, then every 3 years. It discusses the history of Pap smears, guidelines for cervical cancer screening, the Bethesda system for reporting cytology results, specimen collection and preparation methods, normal cervical cytology findings, abnormalities identified in cervical cytology, and the conclusion that screening has significantly Nov 27, 2018 · Hasil pap smear normal menunjukkan hasil negatif, yaitu tidak adanya sel-sel serviks yang abnormal. g. New guidelines recommend screening starting at age 21 or within 3 years of becoming sexually active. May 21, 2018 · A study published in 2007 suggested that the act of performing a Pap smear produces an inflammatory cytokine response, which may initiate immunologic clearance of HPV, therefore reducing the risk of cervical cancer. Anatomy, histology and function of the uterine cervix. The Papanicolaou test (also called Pap smear, pap test, cervical smear or smear test) is a screening test used to detect potentially pre-cancerous and cancerous process in the cervix. Slideshow 2533131 by Smear: adequate Description: Smear shows superficial, intermediate and para basal cells and a few normal endometrial cells. Dr. DR ALIFAH BT MOHD ZIZI O&G SPECIALIST SGH. It defines a pelvic exam as a physical examination of the external and internal female pelvic organs used to evaluate symptoms affecting the female reproductive and urinary tract. 8 per 100,000) and cause of cancer deaths (9. Then the slides are stained by routine PAP staining technique or any other desired stain. It provides details on: 1) The history and effectiveness of Pap smears in detecting precancerous lesions and cervical cancer early. • After initial test, have annually or biannually • After age 30, because screened for 2-3 years unless has high factor developing cervical smear. Doyen's Retractor This instrument is used for retracting bladder during abdominal operations like LSCS , abdominal hysterectomy , laparotomy. After age 30, because screened for 2-3years unless has high factor developing cervical cancer. The HPV test can be done by itself (called “Primary HPV testing”) or as a co-test (done at the same time as a Pap test Nov 11, 2019 · It was later established that the sensitivity of the conventional Pap smears for the detection of cervical cancer precursors was less than 50%. All women have initial pap smear test no late than 21 yrs old . It is usually performed when a Pap smear is abnormal or the cervix looks abnormal. Apr 5, 2024 · Papanicolaou stain is also known as the pap stain and the procedure of the stain is known as a pap smear. The Pap smear, or Pap test, introduced in the 1940s by George Papanicolaou (after whom it was named), is a routine screening procedure for women. Screening can end after age Sep 1, 2023 · The best time for pap smear: • Any time after the cessation of the period. Significance of endometrial cells in pap smear? What is a Pap smear? is a medical procedure in which a sample of cells from a woman's cervix is collected and spread (smeared) on a microscope slide. Aug 11, 2022 · this lecture for undergraduates, GP & gynecologists it includes full simple explanation of CIN (cervical intraepithelial neoplasia) how to do screening for cervical cancer methods of screening that include pap smear and HPV testing it also includes the diagnostic method for the cervical cancer by taking biopsy directed by colposcopy colposcopy and its rule how to deal with CIN different grades Oct 3, 2024 · 4. The test was invented by and named after the prominent Greek doctor Georgios Papanikolaou. It explains that the test involves obtaining a sample of exfoliated cervical cells using a brush or spatula. Automated Pap smears To reduce errors by using computerized analysis to evaluate Pap smear slides. Etiology. Newer tests like HPV testing and liquid-based cytology have increased pap smear sensitivity and specificity. It may be usedas a guide for trainees and pathologists who may only perform a limited number of Pap tests in their practice. pptx - Download as a PDF or view online for free May 13, 2018 · Diagnosis: PAP smear test • Early precancerous changes detected on the Pap smear • A woman may have cervical cancer and not know it because she may not have any symptoms. Cytologic screening for cervical cancer Usefulness of pap smear in the screening programme for cancer cervix is shown by the following: Long latent period of 10-15 years between CIN and invasive cancer allows adequate treatment of CIN and prevention of invasive cancer Proved successful in reducing the incidence of invasive cancer by 80% and the mortality by 70% Oct 29, 2023 · 5. Jun 13, 2016 · HISTORY Papanicolaou first reported in 1923 that cervical cancer or precancer could be detected by pap smear. q She has noted no abnormalities and presented for this Pap Sep 21, 2015 · REHYDRATION OF AIR DRIED SMEARS Unfixed, air-dried gynaecological smears received from peripheral areas can be used for Papanicolaou staining by rehydration method The simplest rehydration technique is to place air dried cytological specimens 50 % aqueous solution of glycerine 2 rinses in 95% ethyl alcohol Pap staining Sep 25, 2018 · 12. Spray with fixative immediately. The cells are examined under a microscope in order to look for pre-malignant or malignant changes. 1)clustering of intermediate squamous cells 2) predominance of navicular cells, defined by yellow cytoplasmic deposits of glycogen, displacing the nuclei to the periphery, and sharply defined Both techniques give good results. Nov 1, 2022 · Concatenation for Cervical Cancer Diagnosis on WSI Pap Smear Slides Nitin Kumar Chauhan ,1,2 Krishna Singh ,3 Amit Kumar ,2,4 and Swapnil Baburav Kolambakar 5 1USIC&T, Guru Gobind Singh Indraprastha University, New Delhi 110078, India 2Department of ECE, Indore Institute of Science & Technology, Indore 453331, India Oct 31, 2017 · INFRASTRUCTURE REQUIRED Private exam area Examination table Trained health professionals Sterile vaginal speculum Supplies and equipment for preparing and interpreting the Pap smears (e. Because of limited opening only few procedures like taking of Pap smear , insertion and removal of Copper T can be done. What does the ThinPrep procedure use? A. Cancer Cytopathology July 2020 491 Original Article Cytomorphologic Findings of Cervical Pap Smears From Female-to-Male Transgender Patients on Testosterone Therapy Michael P. A. After initial test ,have annually or biannually . Before the test, women should not have sex, use lubricants, sprays, powders, or insert items into the vagina for 48 hours. 23 lakh new women are diagnosed with cervical cancer every year • 67,500 of these die of the disease • Almost all cervical cancers are associated with oncogenic HPV. Lab B. Pregnancy B. 8% sodium citrate- 1ml/10ml, ammonium oxalate- 1ml/10ml) • Sample to be processed immediately • Fluid( 10-15ml) is centrifuged, smears and clot sample is prepared from the sediment • Smears are Oct 12, 2012 · PAP SMEAR Procedure (Pap smear): • Gently clean discharge or blood • Within 20 seconds of taking it, from the cervix, if present, with a apply the smear onto the glass cotton swab. Apr 24, 2024 · Editor's Notes. Cervical Cancer : Pap smear George N Papanicolaou introduced cervical cytology in clinical practice in 1940 In 1945, PAP smear was endorsed by American cancer society as an effective method for prevention of cervical cancer Many countries now have National cervical screening programs Jun 1, 2019 · • In case of total hysterectomy pop smear not necessary if it due to benign cause other than positive HPV • In case that don’t have cervix sample from vigina cuff • In case supera cervical hysterectomy follow guide line • 5 year co-test If person don’t : • Use DES(Diethylstilbestrol is an estrogen ) • History of CIN3 • Immune Nov 27, 2013 · 3. Minimum squamous cellularity criteria Conventional smear-8000 to 12000 well preserved, well visualised squamous cells. Cervical cancer D. The first pap smear should be at age 21 instead of younger teenagers, as pap smears before this age often led to unnecessary treatment. The cells are placed in solution and sent to a lab for analysis. Epidemiology Cancer of the uterine cervix is the third most common gynecologic cancer diagnosis and cause of death among gynecologic cancers in the United States . It recommends scheduling the test 2 weeks after the start of the last menstrual period and lists various supplies needed. A completed Smear the sample on another slide, spreading the material evenly over the slide. Introduction: Importance of screening for cervical cancer • Cervical cancer is the second most common cancer in Indian women • In India around 1. Vial of fluid C. All conventional Pap smear slides and ThinPrep® Pap test vials must be clearly labeled with the patient's first and last names as well as a second identifier such as the patient’s Birthdate or Medical Record Number. slide with a light sweeping • Insert the spatula with the motions. 26% of the subjects had inflammatory changes 1% abnormal (1 ASCUS and 1 LSIL) Lower age at marriage (<20 years) was found to be associated with higher incidence of inflammatory changes in the cervix. Karen James, MD January 28, 2003. The Pap test can detect abnormal cell growth, the presence of the human papillomavirus (HPV), as well as other conditions like cervical cancer. Thus Liquid based, thin layer technology was developed to address the limitation of Pap smear. When should women start and stop having Pap smears, and how often should Pap smears be performed? -Pap smears should be started within 3 years of first sexual activity or age 21, which ever comes first. q The patient used to smoke a pack of cigarettes per day, but has not smoked for the past year. Several limitations of conventional smear were identified. An anal Pap smear is an adaptation of the procedure to screen and detect anal cancers. During the procedure, a doctor uses a speculum to view the cervix and collects cells with a brush and spatula. May 14, 2021 · 2. If you have cancer, finding it early on gives you the best chance Sep 25, 2023 · 9. DURING PREGNANCY Vaginal smears reflect the balance of hormones during pregnancy. REHYDRATION TECHNIQUE FOR AIR-DRIED SMEARS Bước tiếp theo: Soi cổ tử cung ngay Đúng Sai PAP lặp lại sau 1 năm Đúng Sai HPV testing ngay Đúng Sai PAP và HPV testing lặp lại sau 3 năm Đúng Sai Tình huống thứ ba: Xử trí PAP ASC-US đối với những trường hợp đặc biệt: 27 tuổi mang thai 9 tuần được biết PAP cách 1 tháng ASC-US. THE BETHESDA SYSTEM It is a system of reporting cervical or vaginal cytology (used for reporting Pap smear results). Jul 19, 2022 · This document outlines the reporting criteria for a pap smear, including what constitutes an adequate specimen, what findings would be considered satisfactory or unsatisfactory for evaluation, and what abnormalities and diagnoses could be included in the report such as various grades of squamous intraepithelial lesions, glandular cell abnormalities, presence of organisms, and non-neoplastic Jan 6, 2023 · Preservation and processing of Smears prepared and fixed according to the requirements of the stain to be used. POLICY Screen sexually active women for precancerous lesions of the cervix. Conclusion Cervical pap smear is a very simple, economical and sensitive test to diagnose premalignant and Allow to fully dry before packaging Cytologic Fixative (hairspray works acceptably also) Allow the slides to dry completely before placing them in the Pap smear container. During a Pap test, a healthcare provider collects a small sample of cells from the cervix, which are then examined under a microscope to check for any changes or Both techniques give good results. • 1. Jan 9, 2018 · 3. Visual examination, One of your tasks during a pelvic exam is to 1. q The patient did not follow-up at that time and has not had a Pap smear since then. Jul 31, 2009 · The document discusses Pap smear testing for cervical cancer screening. 2. Nov 16, 2014 · The Pap Smear: Technique and Interpretation. But it was only in 1943 that Pap test became accepted and widely used. The stroma in this group is slightly eccentric. May 3, 2024 · 8. Specifically, Pap smear testing has only a 55- to 80-percent sensitivity for detecting high-grade lesions on any given single test . Autocyte •Composed of an algorithmic & neural network scanner •Scans the slides & records images of 128 of the most abnormal fields found on the slide, with the most significant abnormality found in the center. Dec 3, 2022 · papsmear. •1940-1989: annual “pap smear” for all women -Linkage of “annual pap smear” to “annual health exam” •1987: Walton Commission (British Columbia) -Cytology screening every 3 years •1989: AMA, ACOG, AMWA Consensus Statement -Annually, starting at sexual activity or 18 years old -After 3 negative smears, testing may be done less frequently -Longer intervals based on the In 2018, Mithlesh Arya et al. iqg equi uvpycq fgdwrq icxh oovyb hch aboy uah dzmnqk