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Cervical Screening


UK Screening Programme

  • Women aged 20-64 screened every 3-5 years

Techniques

  • Papanicalaou Smear

    • smeared on slide and stained for glycoprotein

  • Liquid based cytology

    • allows Human papillomavirus (HPV) testing

Findings

  • if normal repeat every 3-5 years

  • BNA - repeat in six months, if ever 3 refer for colposcopy

  • mild dyskaryosis - repeat six months, if ever 2 milds refer for colposcopy

  • moderate and severe dyskaryosis - refer for colposcopy

  • koilocytosis implies active HPV infection