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Colposcopy is done using a colposcope, which provides a magnified and illuminated view of the areas, allowing the colposcopist to visually distinguish normal from abnormal appearing tissue, such as damaged or abnormal changes in the tissue , and take directed biopsies for further pathological examination if needed.
Endocervical curettage is a medical procedure used to extract cells of the endocervix to visualize under a microscope. Direct cervical visualization, colposcopy, and even endocervical colposcopy are not enough to fully analyze all areas of the endocervical epithelium and thus endocervical curettage is the method of choice in cases where this is necessary.
The FDA Compliant disposable Soft-ECC endocervical curette can be used to biopsy the endocervical canal during colposcopy or the evaluation of abnormal uterine bleeding. Unlike the conventional sharp endocervical curette, the Soft-ECC is intended to gently frictionally abrade and collect abundant trans-epithelial tissue samples into the patent ...
A second pass with a more narrow loop can also be done to obtain an endocervical specimen for further histologic evaluation. [ 8 ] The LEEP technique results in some thermal artifact in all specimens obtained due to the use of electricity which simultaneously cuts and cauterizes the lesion, but this does not generally interfere with ...
Medical imaging is then done to determine whether or not the cancer has spread. [2] HPV vaccination is the most cost-effective public health measure against cervical cancer. [14] There are six licensed HPV vaccines. [16] They protect against two to seven high-risk strains of this family of viruses and may prevent up to 90% of cervical cancers.
[10] [needs update] To combat this progression, HSIL is usually followed by an immediate colposcopy with biopsy to sample or remove the dysplastic tissue. This tissue is sent for pathology testing to assign a histologic classification that is more definitive than a Pap smear result (which is a cytologic finding).
A 2005 study found the sensitivity and specificity of cervicography for cervical intraepithelial neoplasia to be 72.3% and 93.2% respectively; [5] however, a 2007 study criticized the sensitivity figure as "likely... inflated" because the "gold standard" of colposcopy/biopsy may have missed cases of cervical intraepithelial neoplasia.
The Papanicolaou test (abbreviated as Pap test, also known as Pap smear (AE), [1] cervical smear (BE), cervical screening (BE), [2] or smear test (BE)) is a method of cervical screening used to detect potentially precancerous and cancerous processes in the cervix (opening of the uterus or womb) or, more rarely, anus (in both men and women). [3]