Cervical dysplasia screening: Difference between revisions

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==Overview==
==Overview==
==Pap Smear==
Cervical dysplasia that is seen on a Pap smear is called squamous intraepithelial lesion (SIL). These changes may be graded as:
*Low-grade (LSIL)
*High-grade (HSIL)
*Possibly cancerous (malignant)
If a Pap smear shows abnormal cells or cervical dysplasia, further testing or monitoring will be recommended:
*Follow-up Pap smears may be recommended for mild cases
*Colposcopy-directed biopsy can confirm the condition
*Cone biopsy may be done after colposcopy
Dysplasia that is seen on a biopsy of the cervix is called cervical intraepithelial neoplasia (CIN). It is grouped into three categories:
*CIN I -- mild dysplasia
*CIN II -- moderate to marked dysplasia
*CIN III -- severe dysplasia to carcinoma in situ
Some strains of human papillomavirus (HPV) are known to cause cervical cancer. An HPV DNA test can identify the high-risk types of HPV linked to such cancer. This may be done:
*As a screening test for women over age 30
*For women of any age who have a slightly abnormal Pap test result


==References==
==References==

Revision as of 05:48, 29 January 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Pap Smear

Cervical dysplasia that is seen on a Pap smear is called squamous intraepithelial lesion (SIL). These changes may be graded as:

  • Low-grade (LSIL)
  • High-grade (HSIL)
  • Possibly cancerous (malignant)

If a Pap smear shows abnormal cells or cervical dysplasia, further testing or monitoring will be recommended:

  • Follow-up Pap smears may be recommended for mild cases
  • Colposcopy-directed biopsy can confirm the condition
  • Cone biopsy may be done after colposcopy

Dysplasia that is seen on a biopsy of the cervix is called cervical intraepithelial neoplasia (CIN). It is grouped into three categories:

  • CIN I -- mild dysplasia
  • CIN II -- moderate to marked dysplasia
  • CIN III -- severe dysplasia to carcinoma in situ

Some strains of human papillomavirus (HPV) are known to cause cervical cancer. An HPV DNA test can identify the high-risk types of HPV linked to such cancer. This may be done:

  • As a screening test for women over age 30
  • For women of any age who have a slightly abnormal Pap test result

References


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