PAP smear is a method of screening for cervical dysplasias and neoplasias, it's important to know how and when the screening is performed and also how to follow up expected results
A PAP smear may be done in 2 forms , a conventional form ,which has a 50% sensitivity and Liquid based preparations which has 75-80% sensitivity.
for every female at 22 years of age a conventional PAP smear is advised to be done annually or liquid -based every 2 years, till the age of 30.
after the age of 30 the presence of three NEGATIVE successive annual conventional pap smears may allow to perform the screening every 2 or 3 years instead of annual screening,
there's no need to continue screening after the age of 65 in the presence of previous negative screening test.
Suppose there were atypical results of the smear , if the patient is reliable then you would repeat the smear after 3months with HPV DNA testing, if still atypical then you would need to perform a Coloposcopy and Biopsy, if the patient is unreliable then you may shift directly to the coloposcopy and biopsy and in a developing country like egypt , for me, it's a No Brainer to directly shift to the biopsy
A PAP smear may be done in 2 forms , a conventional form ,which has a 50% sensitivity and Liquid based preparations which has 75-80% sensitivity.
for every female at 22 years of age a conventional PAP smear is advised to be done annually or liquid -based every 2 years, till the age of 30.
after the age of 30 the presence of three NEGATIVE successive annual conventional pap smears may allow to perform the screening every 2 or 3 years instead of annual screening,
there's no need to continue screening after the age of 65 in the presence of previous negative screening test.
Suppose there were atypical results of the smear , if the patient is reliable then you would repeat the smear after 3months with HPV DNA testing, if still atypical then you would need to perform a Coloposcopy and Biopsy, if the patient is unreliable then you may shift directly to the coloposcopy and biopsy and in a developing country like egypt , for me, it's a No Brainer to directly shift to the biopsy
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