lecturer aout imortant precancerous lesions i n female genital tract

1. Pre invasive
gynaecological
lesions


2. Presented by
Dr. walid Aiaad
Lecturer of obestetrics & gyneacology
Faculty of medecine Azhar Un.

3. Pap smear report show unsatisfactory………
next step
Conventional method more accurate than
liqued cyto.
What is hpv vaccine

4. Cx
Uterus
Vagina
Vulva

5. Basic considration
Hyperplasia
Metaplasia
Dyskaryosis
DYSPLASIA
ATYPIA
SCJ

8. CIN

10. Batesda system classification
2001
HGIN .
LGSIN.
Atypical squamas cells. Ascus.
Ascuh
favor neoplasia
Atypical galndular cells . With
adenocarcinoma
not otherwise special

12. H.P.V

14. DNA

18. Pap smear

21. Pap smear
Methods .
Area of assessment .
Precautions before test
Steps .

33. Batesda system cytology report
2001
Spicemen type.
Adequacy satisfactory .
not .
Interperition of results .

35. Guide lines for Pap smear screening
ACOG 2006
Start.
Stop.
Interval.
Screening interval for HPV +ve.
Screening after hysterectomy .

36. Guidelines for management of Pap
smear (RCOG 2010)
Negative
Borderline
Mild
Moderate
Severe
Glandular
Unsatisfactory

37. H.G.S.N

38. L.S.N

39. G.I.N

41. Colposcopy .
Biobsy.
Cervicography.

42. Treatment
Prophylactic traetment .(vaccine)
CIN I .
CIN II & III.

47. THANKS