Smear (Pap test)

Smear test (Pap smear) is the process of taking swabs from the cervix. Smear test cervical cancer of the cervix, ie a scanning method. The main goal of the cervix smear test farkedilmezse years later turn into cancer risk of non-cancerous, but recognize some of the early lesions, and if necessary to prevent the conversion of the cancer treatment.

Swab in a swab of cells in the cervix during gynecological examination in the form of a special glass on a sample is taken. After launch smear of cells from the glass that screws onto the spray and sent to pathology for examination. The patient does not feel anything getting smear. Processing takes approximately 1-2 minutes is too short.

American Cancer Society (ACS) and the American College of Obstetricians and Gynecologists (ACOG) according to the recommendation for screening after 3 years of first sexual intercourse, or to be received at least 21 years old smear should be started, and then once a year. Results for three consecutive years becomes detached from the normal procedure for people who are not in the risk group 2-3 years after age 30 can be done less frequently. Between the ages of 60-70 and the third one has not been as a result of an abnormal smear smear results, at least if you have a normal 70-year-old smear the purchase is concluded. In our country, the national screening program here can be found by clicking on. According to the scanning starting from the age of 35 every 5 years until the age of 65 should continue to be taken and a smear. The last two test screening can be cut with a normal 65 year old women.

Smear in pregnant women can be the first 3 months, but only the outer surface of smear smear the rod is inserted into the uterus through the mouth.

Benign for some reason (such as fibroids), surgery, hysterectomy (uterus completely taken) there is no need for patients who have a Pap test. If, however, in this case surgery, uterine cervical smear test is not taken exactly it should be done every year.

Sexual intercourse during the previous 2 days of receipt bulunulmamalı smear, vaginal medications, creams, sprays, powders, or the buffer used and vaginal douching should not be done.

Units can not be smaer time. Prevents the evaluation of blood smears.

ABNORMAL SMEAR RESULTS

ASCUS: squamous epithelial cells covering the cervix presents with uncertain clinical significance and are not likely precursor of cancer. If it is determined ASCUS Pap tests in a row 3 times a negative is repeated until 4-6 months apart, and they continue taking a smear is normal if the later years. Patients with ASCUS detected, colposcopy can be done, if there is a lesion in the cervix is abnormal in this kind of transaction magnifying camera and if you have researched and a little piece of that region (biopsy) is taken. Follow-up smear or colposcopy, HPV DNA testing done by looking at the cervix can be decided.
During menopause, estrogen therapy is detected ASCUS smear is taken again and again after the colposcopy, ASCUS is detected.

Low grade squamous intraepithelial lesion (LSIL) (LGSIL): changes in the cervix are slightly covering the cell layer. This situation is detected, colposcopy, biopsy, and if necessary can be done. Lower risk of progression to cancer.

High grade squamous intraepithelial lesion (HSIL) (HGSIL): This condition is detected by methods such as colposcopy and conization piece of the cervix should be made ​​based on pathological examination. Lesions progress to cancer risk is higher than the other.

Atypical glandular cells (AGC): the inner layer of the uterus or cervix can. colposcopy and ECC (abortion, to the inner surface of the cervix) is done and they decided to continue the treatment according to the results