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The procedure is generally performed after an abnormal pap smear to further assess the tissue. Other common indications to perform endocervical curettage include evaluation of persistent human papillomavirus infection infections, workup of unexplained abnormal uterine bleeding, and follow up of inconclusive colposcopy.
Colposcopy is not generally performed for people with pap test results showing low-grade squamous intraepithelial lesion (LSIL) or less. SILs are an abnormal growth of epithelial cells, known as a lesion, on the surface of the cervix. Unless the person has a visible lesion, colposcopy for this population does not detect a recurrence of cancer. [10]
Pap smear results may be reported using the Bethesda system (see above). The sensitivity and specificity of this test were variable in a systematic review looking at accuracy of the test. An abnormal Pap smear result may lead to a recommendation for colposcopy of the cervix, an in office procedure during which the cervix is examined under ...
What to do if you get an abnormal pap smear result. If you get an abnormal result from your pap test, don’t panic: “Many women have abnormal cervical cancer screening results and an abnormal ...
It's an important screening tool for cervical cancer. For premium support please call: 800-290-4726 more ways to reach us
Currently, the pap smear — in which cells taken from the cervix are examined by a doctor “for cervical cancer or cell changes,” per the National Cancer Institute — is the recommended ...
In the developed world, cervical biopsy guided by colposcopy is considered the "gold standard" for diagnosing cervical abnormalities after an abnormal Pap smear. Other techniques such as triple smear are also done after an abnormal Pap smear. [74] The procedure requires a trained colposcopist and can be expensive to perform.
However, it is acceptable to screen this age group with a Pap smear alone every 3 years or with an FDA-approved primary high risk HPV test every 5 years. [11] In women over the age of 65, screening for cervical cancer may be discontinued in the absence of abnormal screening results within the prior 10 years and no history of high-grade lesions ...