Pap Smear Testing

According to Bethesda system specifications, this mini-case refers to a 32-year-old female patient with abnormal Pap smearing grade CIN 2 high grade SIL. Educating about Pap smear in this patient is the first step. The Papa Nicolas test or "Pap smear" is a screening tool for detecting cervical abnormalities or the presence of cancer cells. CIN II is classified as moderate dysplasia and ensures that she develops into cancer cells. These cells are usually precancerous lesions and are likely to cause cervical cancer.

Cytological analysis of the cervix, commonly referred to as Papanicolaou smear, is effective in identifying cell proliferation abnormalities. If the results of the Papanicolaou smear test are abnormal, an HPV test to detect the presence of viral DNA can be subsequently performed. Recently, tetravalent vaccines developed by multinational pharmaceutical companies have been added and they are currently only available to women. Mild side effects such as skin fever and redness are reported, so the vaccine is still not absolutely reliable ("HPV", 2006).

The most important advance in the early detection of cervical cancer is the extensive use of the Papanicolaou test (Papanicolaou smear test) and high risk HPV test. Pap smear is part of the periodic inspection. During surgery, cells on the surface of the cervix are collected and checked for abnormality. Diagnosis of cervical cancer requires collection of a cervical tissue sample (called biopsy) and microscopic analysis. If Papanicolaou smear is abnormal, this can be done. Colposcopy is a procedure similar to pelvic examination. It is usually used for patients with abnormal Papanicola smearing results but with normal physical examination. Please check the cervix with a microscope called a vaginal speculum. To make the abnormal cells more visible, the entire cervix is ​​stained with harmless dye or acetic acid. Then biopsy these areas

The procedure for collecting Pap smears is relatively simple. Insert the equipment, open the equipment, remove the swab and send the swab to the test. Contrary to the myth that Pap smears take a lot of time and pain, this process is not really painful, but in the survey of about 2,000 women in the UK, about a third has been skipped I am reluctant to test because it is embarrassed by this smell. According to the analysis, as a result of the survey, 35% of women skipped the examination from the shape of the body, 34% of the women were concerned about the appearance of the vulva, and 38% of the women were concerned about the smell . It was 15% that 33% of the respondents said that they would not take a test unless they cut the area below them, and that they would skip the test if the other 15% commitment was interrupted.