No reflex cytology undertaken

  • How do I read my HPV test results?

    An HPV test will come back as a negative test result or a positive test result.

    1. Negative HPV test result: High-risk HPV was not found.
      2. You should have the next test in 5 years.
    2. Positive HPV test result: High-risk HPV was found

  • What is reflex cytology testing?

    The purpose of reflex HPV testing is to detect the Human Papillomavirus (HPV) in a Pap test sample and to help decide what follow up is needed for women in specific age groups with a low grade Pap test result (ASC-US or LSIL)..

  • What is Reflex cytology?

    The purpose of reflex HPV testing is to detect the Human Papillomavirus (HPV) in a Pap test sample and to help decide what follow up is needed for women in specific age groups with a low grade Pap test result (ASC-US or LSIL)..

  • What is Reflex liquid based cytology?

    Reflex liquid-based cytology LBC (cytology) A test performed on a liquid-based cytology sample when there is a positive oncogenic HPV test result.
    Reflex LBC may allow for the triage of women along different pathways, negative, LSIL and HSIL, glandular..

  • If the cervix is not immediately visible, don't withdraw immediately: Consider angling the blades of the speculum (anteriorly or posteriorly) until it comes into view.
    If it is partially concealed, a swab may be used to bring it fully out (it is essential to be able to see its entire circumference).
  • Reflex liquid-based cytology LBC (cytology) A test performed on a liquid-based cytology sample when there is a positive oncogenic HPV test result.
    Reflex LBC may allow for the triage of women along different pathways, negative, LSIL and HSIL, glandular.
  • The reflex HPV assay detects nucleic acid from 14 high-risk HPV types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68).
    A positive screen will reflex to the genotyping test for HPV 16, 18/45.
Objective. High‐risk human papillomavirus (HrHPV)‐positive women detected by self‐sampling require an extra visit at the general practitioner for additional 
Where the cytology sample is reported as negative, a reflex HR-HPV test will be undertaken. Where cytology shows, borderline or low-grade or above the women 

Are there evidence based guidelines for cervical cytology and histology?

To address these issues, the American College of Obstetricians and Gynecologists (ACOG) has released evidence-based guidelines for management of abnormal cervical cytology and histology.
The recommendations were published in the September 2005 issue of Obstetrics & Gynecology.

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Can a cytology test take phlegm?

Respiratory samples:

  1. Your provider can collect fluids such as :
  2. spit and mucus (also called phlegm or sputum) that you cough up for a respiratory cytology test

Urinary samples:Your provider can collect a urine (pee) sample from you to use for a cytology test.
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Contents

Case

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Professional Guidelines Options and Shared Decision Making For Women

ACOG, ASCCP and SGO have endorsed the USPSTF cervical cancer screening recommendations Co-testing (cervical cytology and hrHPV testing) every 5 years.
1) Pros 1.1.
Co-testing with cytology and hrHPV testing is more sensitive than cytology alone 1.2.
Identifies people at higher risk of developing precancerous lesions 1.3.
In women >30 years, liquid-b.

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Synopsis

Cervical Cancer Overview

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The Case

36-year-old G1P1


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