Redo badge in PAP smoothly

Aug 6th, 2022
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How to Redo badge in PAP

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hi my name is Natalie Bonet Im an assistant professor of pathology and Laboratory Medicine I work at women infants hospital in Providence Rhode Island and Im recording a lecture today on gynecologic cytopathology this is a first in the series and today we will start at the beginning of the Bethesda book my contact information is noted on the slide here at the website and a Twitter handle please get in touch with me if you have any feedback today we will talk about report elements adequacy and non neoplastic findings and then at the end reporting of endometrial cells so just to start off the source for this lecture material was mostly the Bethesda system for reporting cervical cytology its a book that came out in 2015 the aim of this system is that the terminology must be number one clinically relevant number two reasonably reproducible and flexible and number three reflect the most current understanding of cervical neoplasia the bethesda system was convened for the first time in 198

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An inadequate cervical smear test result simply means that the swab sample did not contain enough cells to provide an accurate result. Youll need to repeat the smear test, usually in three months time, to give the surface of your cervix enough time to regenerate enough cells.
There are actually lots of reasons your Pap smear may come back abnormal. You may have an infection or inflammation, growth or cysts, changes in your hormones (usually due to pregnancy or menopause), problems with your immune system related to diabetes, HIV, or autoimmune diseases.
In most cases, an abnormal Pap test is a result of: A human papillomavirus (HPV) infection. A sexually transmitted infection (STI or STD), such as herpes or trichomoniasis. A bacterial or yeast infection.
If they appear to be abnormal, your doctor will order more tests, including a colposcopy, to find out for sure if its cancer. Squamous cell cancer or adenocarcinoma cells. This means the cells on your cervix are so abnormal, your doctor is almost certain its cancer.
Sometimes youll be asked to come back in 3 months to have the test again. This does not mean theres anything wrong, its because the results were unclear. This is sometimes called an inadequate result.
Following an abnormal Pap smear, your next step is additional testing. Dr. Tajzoy may suggest redoing the Pap smear to see if results come back the same.
If your pap smear test comes back as abnormal, or positive, it means there is an unusual cell appearing in your cervix. This result does not mean you have cervical cancer. Most often, these test results are the sign there have been cell changes caused by HPV (human papillomavirus).
About 5% of all Pap tests will be abnormal, meaning that the sample contains atypical cervical cells. However, the majority of these cells are not cancerous or even precancerous. An abnormal Pap test result does not mean cancer, but it does require follow-up to rule out the possibility of cancer.
An unsatisfactory cytology result is reported when there are insufficient cells for the cytopathologist to properly evaluate the specimen. This occurs in approximately 2% of cytologic samples.

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