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Pap tests can usually be performed during pregnancy up to at least 24 weeks of gestational age. [34] Pap tests during pregnancy have not been associated with increased risk of miscarriage. [34] An inflammatory component is commonly seen on Pap smears from pregnant women [35] and does not appear to be a risk for subsequent preterm birth. [36]
Cytologic tests include conventional Pap smear and liquid based cytology. Visual Inspection tests involve application of a solution to enhance identification of abnormal areas and can utilize the naked eye or a colposcope/magnifying camera. [3] Medical organizations of different countries have unique guidelines and screening recommendations.
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]
[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 ...
[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).
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 College of American Pathologists and the American Society of Colposcopy and Cervical Pathology came together in 2012 to publish changes in terminology to describe HPV-associated squamous lesions of the anogenital tract as LSIL or HSIL as follows below: [16] CIN 1 is referred to as LSIL.
Guidelines for oropharyngeal cancer screening by the Preventive Services Task Force and American Dental Association in the U.S. suggest conventional visual examination, but because some parts of the oropharynx are hard to see, this cancer is often only detected in later stages.