Cervical cancer screening module 4

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Cervical Cancer Screening Module 4 - from Massachusetts Medical Society. Copyright © 2013. Massachusetts Medical Society, 860 Winter Street, Waltham Woods Corporate Center, Waltham, MA 02451-1411

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Cervical cancer screening module 4

  1. 1. Cervical Cancer Screening Module IV Techniques for Evaluation of Abnormal Pap Smear Treatment of Preinvasive Disease
  2. 2. Techniques for Evaluation of Abnormal Pap Smear Colposcopy Biopsies LEEP and Cone Biopsy Dilation and Curettage, hysteroscopy Hysterectomy Module IV
  3. 3. Techniques for Evaluation of Abnormal Pap Smear Colposcopy Evaluation of the cervix, vagina, and vulva with a colposcopy after the application of acetic acid 3-5% Crucial to have appropriate dilation of acetic acid. Less dilute solutions (strength greater than 5%) can cause third degree burns Module IV
  4. 4. Techniques for Evaluation of Abnormal Pap Smear Colposcopy Adequate colposcopy means that the entire squamo-columnar boundary is seen or that the full extent of the lesion is seen. Module IV
  5. 5. Techniques for Evaluation of Abnormal Pap Smear Biopsies Endocervical sampling involves a curettage of the endocervical canal Module IV
  6. 6. Cervical Cancer Screening Treatment of Preinvasive Disease Low Grade Preinvasive Disease Most LSIL will not have treatment High Grade Preinvasive Disease Module IV
  7. 7. Treatment of Preinvasive Disease High Grade Preinvasive Disease Observation LEEP Cone Biopsy Cryotherapy Carbon Dioxide Laser Ablation Hysterectomy Module IV
  8. 8. Treatment of High Grade Preinvasive Disease Hysterectomy Laparoscopic Vaginal Abdominal Module IV
  9. 9. Simple Hysterectomy Prevesical space Vesicouterine ligament Paravesical space Vesicouterine space Cardinal ligament Rectovaginal space Pararectal space Uterosacral ligament Retrorectal space
  10. 10. CERVICAL CANCER SCREENING MODULE IV CONCLUSIONS -This module summarizes the steps to the pelvic exam and the evaluation of an abnormal pap smear. -Treatment of preinvasive disease includes fertility-sparing local ablative techniques and simple hysterectomy for women who have completed child bearing.

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