Final exam prep
Card Set Information
Final exam prep
review for final exam
Bethesda Classification System results came back with Squamous cell carcinoma or adenocarcinoma. The next step would be to:
promptly refer to gyn cancer specialist
A post-menopausal woman with endometrial cells evident on pap results. She is not on hormone replacement therapy. What is the follow up for this patient?
AGUS (atypical glandular cells of undetermined significance) leads to what follow up?
endocervical curettage (ECC)
possible endometrial bx
fractional dilation and curettage or hysteroscopy
Treatment for a low grade intraephithelial leasion is:
colposcopy and cervical bx with endocervical curettage.
If ECC is negative, pap smears and colposcopy every 6 months
Normal cervical cells include:
Risk factors for cervical cancer include:
intercourse prior to 20 yo
more than 3 partners in a lifetime
intercourse with men who have had multiple partners
presence or history of HPV
Cervical screening guidelines
initiate at 21
21-29 - every 1 to 2 years based on risk assessment
30-65 - every 2 to 3 years based on risk assessment
66 > if 3 consecutive negatives and no abn paps
: 10 yrs
66> with abnormal pap
: biannual until 2 consecutive
normals, then continue routine.
Pap test interpretation is based on what standard?
Bethesda classification System (1991)
Catagories of BCS reporting:
Specimen adequacy (satis., less than optimal, unsatis)
Negative for intraepithelial lesions or malignancy (WNL,
Benign cellular changes)
Epithelial cell abnormalities
Negative for intraepithelial lesion or malignancy: what other results could there be?
Fungal organisms (candida)
Reactive cellular changes
Glandular cells (s/p hysterectomy)