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A colposcopy with directed biopsy is the standard for disease detection. Endocervical brush sampling at the time of Pap smear to detect adenocarcinoma and its precursors is necessary along with doctor/patient vigilance on abdominal symptoms associated with uterine and ovarian carcinoma.
The World Health Organization has also published guidelines to increase screening and improve outcomes for all women taking into consideration differences in resource availability of regions. Management of abnormal screening results can include surveillance, biopsy, or removal of the suspicious region via surgical intervention.
Colposcopy (Ancient Greek: κόλπος, romanized: kolpos, lit. 'hollow, womb, vagina' + skopos 'look at') is a medical diagnostic procedure to visually examine the cervix as well as the vagina and vulva using a colposcope. [1] The main goal of colposcopy is to prevent cervical cancer by detecting and treating precancerous lesions early.
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.
[22]: 654 As a risk of cancer still exists, guidelines recommend continuing regular Pap tests. [9] Other methods of prevention include having few or no sexual partners and the use of condoms . [ 8 ] Cervical cancer screening using the Pap test or acetic acid can identify precancerous changes, which when treated, can prevent the development of ...
Vaginal intraepithelial neoplasia (VAIN) is a condition that describes premalignant histological findings in the vagina characterized by dysplastic changes. [1]The disorder is rare and generally has no symptoms. [2]
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.
SEE: Update on ASCCP Consensus Guidelines for Abnormal Cervical Screening Tests and Cervical Histology, American Family Physician, July 15, 2009 —Preceding unsigned comment added by Andrewjonathandorfman (talk • contribs) 02:58, 15 May 2010 (UTC)