Pdf pap smear image classification using convolutional neural. Classification accuracy % using different classifiers on pap smear. Pap smear by susun weed weed wanderings herbal ezine with. A doctor or nurse can do a pap smear during a pelvic examination. Colposcopic management of abnormal cervical cytology jogc. If you are 2554 years old and have had 2 normal pap smear results in a row you should continue to do a pap smear every 3 years up to age 65 years. Persiapan alatalat yang akan digunakan, meliputi spekulum cocor bivalve. Pap smear screening in the primary health care setting. Of all women with hsil results, 2% or less have invasive cervical cancer at the time of diagnosis. Evaluation of a pap smear screening program for elderly women. Pap smear adalah tes skrining untuk kanker serviks atau kanker mulut rahim. The pap smear is obtained with a cytobrush and an ayres spatula. Start studying pap smear, neoplasia, cervical cancer. Pap smear adalah ilmu yang mempelajari selsel yang lepas dari sistem alat kandungan wanita lestadi, 2009.
While you lie on the examination table the doctor or nurse puts an instrument called a speculum into your vagina, opening it to see the cervix. Nov 01, 1985 the validity of pap smear parameters as predictors of endometrial pathology in menopausal women. Pap smear recommendations change national guidelines regarding pap smears recently have changed. Pap smear recommendations change saint francis healthcare. No cervical cancer screening recommended 65 years old if they have had prior adequate screening negative cytology alone or negative cytology and hpv as last pap smear even if a women has a new sexual partner after age 65, she does not need to be rescreened if above criteria are met. Di sinilah pentingnya pemeriksaan pap smear secara berkala, agar kelainan sel di leher rahim yang berisiko menjadi sel kanker dapat terdeteksi sejak di dini pap smear adalah prosedur pengambilan dan pemeriksaan sampel sel dari leher rahim, untuk melihat ada tidaknya kelainan yang dapat mengarah kepada. Relative risk for asch pap diagnosis is certainly less than 20%, but hsil must first be excluded by colposcopy and biopsy after asch. To take the sample, your doctor will put a special instrument called a speculum into your. Cells are scrapped or brushed by a qualified physician, physicians assistant, nurse, or. Papanicolaou test exfoliative cytology test cells collected are from normally shedding epithelium. Dr roach said despite the selftesting option becoming available, he still recommended having the test performed by a doctor. Causes common causes of ascus pap smears are minor infection and cervical.
A pap smear is a test your doctor does to check for signs of cancer of the cervix. The validity of pap smear parameters as predictors of endometrial pathology in menopausal women. Patient is sexually active and on oral contraceptives, therefore pap smears are recommended. Pdf deteksi dini kanker serviks salah satunya melalui pemeriksaan pap smear, sebagai. Pdf pap smear classification using combination of global. Artinya, kematian karena kanker leher rahim disebabkan keterlambatan diagnosis dimana kanker diketahui ketika berada pada stadium lanjut. Cara terbaik untuk mendeteksi kanker serviks secara dini adalah dengan melakukan tes pap smear. There are a few different things your cervical cells could be trying to tell you.
What are some common causes of abnormal pap smear results. Cells are scrapped or brushed by a qualified physician, physicians assistant, nurse, or technician. Conventional pap smear and liquid based cytology for cervical cancer screening a comparative study article pdf available in journal of cytology 244 january 2007 with 488 reads. Ascus pap smear an ascus pap smear is the most common type of abnormal pap smear result. Standard of care for pap screening today on medscape. Pap smear cervical cancer cytopathology free 30day. Langkah selanjutnya dalam pap smear adalah dokter akan mengeruk sampel sel di leher rahim anda dengan alat khusus berupa spatula, sikat halus, atau kombinasi dari keduanya cytobrush. Hiv disease is associated with an increased risk of cervical dysplasia, a precursor of cancer, in women. Pap smear atau pap test adalah metode pengujian untuk mendeteksi adanya kanker leher rahim atau kanker serviks pada seorang wanita. Paps smear dianggap perlu karena data dunia menunjukkan 50% penderita kanker leher rahim yang mengalami kematian adalah mereka yang tidak melakukannya. Pap smear by susun weed weed wanderings herbal ezine. Pengertian pap smear adalah suatu tes yang aman dan murah dan telah dipakai bertahuntahun lamanya untuk mendeteksi kelainankaelainan yang terjadi pada selsel leher rahim fitria, 2007. A pap smear, also called a pap test, is a procedure to test for cervical cancer in women. Women with an agcn pap smear without an identifiable lesion at colposcopy.
It is the opening to the uterus and is composed of dense connective tissue. Pdf hubungan pengetahuan wanita usia subur dengan motivasi. Pemeriksaan pap smear adalah salah satu metode pemeriksaan skrining kanker serviks yaitu dengan pengambilan apusan sel epitel serviks yang akan diperiksa. Success hinges on the smear artists ability to remain invisible. Karakteristik gambaran sitologi papsmear sebagai tes skrining. Women across all 8 groups were consistent in support of routine cervical cancer screening with pap smears. Among 90 individuals who have fill questionnaire completely, 66. Pemeriksaan paps smear konvensional adalah pemeriksaan paps smear secara konvensional.
If this position makes you uncomfortable in any way, tell the examiner you want to put your feet on the examining table. Ppap smear reportingap smear reporting the pap smear reporting classification has evolved and been refined over time. With your knees spread, a speculum is gently fitted. Melalui pemeriksaan sitologi eksfoliatif dari selsel yang. There is no immediate cervical cancer risk in an ascus pap smear result. Pap smear merupakan pemeriksaan sederhana yang dikembangkan oleh dr. The main purpose of the pap smear is to detect for cell abnormalities that may occur from cervical cancer or before cancer develops. Complete patient history must accompany the specimen. Alat ini berfungsi untuk membuka dan melebarkan lubang vagina. Thats right, no more awkward trips to the doctors for some lucky women. Papanicolaou developed a technique for sampling the cells of the cervix pap smear to screen patients for cancer of the cervix. I was in a monogamous relationship for 12 years and only one other sex partner after that.
Asccp patient management guidelines pap test specimen adequacy and quality indicators diane d. An abnormal pap smear isnt a one size fits all type thing. Most women in each group believed strongly that yearly screening was important, although not all women were actually screened yearly, and a few had not had a pap smear within the preceding 3 years. Prosedur pemeriksaan pap smear menurut soepardiman 2002, manuaba 2005, dan rasjidi 2008, prosedur pemeriksaan pap smear adalah. A trained technician examines these cells through a microscope looking for cancer cells, or cells that.
Albuquerque new mexico obstetriciangynecologist doctors physician directory read about pap smear, a test to screen for cervical cancer, and precancerous changes in the cervix. Asccp patient management guidelines pap test specimen. Pap smear adalah tes yang menggunakan alat bernama spekulum ke dalam vagina. About 20% can however, progress to have invasive cervical cancer if not treated or followed appropriately. Some health insurers may reimburse laboratories for the costs of automated screening. The current reporting system is the bethesda system, which was introduced in 19886 and later updated again in 1999 table 1. Do not let the specimens dry at any stage of the staining procedure. Pap smear referral recommendations triage routine screening not abnormal pap follow up these are suggested guidelines only, each patient should be evaluated individually. The validity of pap smear parameters as predictors of. Risk factors for abnormal pap include hpv, smoking medications, and a weakened immune system. Staining methods histology and cytology 152 notes sources of errors irregular distribution of the blood smear on a glass slide may result in an erroneous cell counts.
Most patients who develop this condition have a history of human papillomavirus hpv infection, which is a sexually transmitted pathogen that causes genital warts. Pap smear the pap smear is a cancer screening test that has reduced the death rate from cancer of the cervix by 70% in the last 50 years. Pdf pap smear test is routinely used today to diagnose cervical cancer. After your obgyn has carried out a routine pelvic exam, they will use a soft brush to take a tiny sample of cells from the cervix the narrow end of your uterus thats at the top of your vagina. Although many women and physicians think of them as a single event, in reality they are both parts of the annual female exam. This monograph essentials of pap smear and breast cytology is prepared at the request of a large number of students in cytology who wish to have a small and concise book with numerous illustrations for easy reference during their laboratory training. Kanker serviks yang baru ditangani setelah munculnya gejala bisa dianggap sudah terlambat. It has very little smooth muscle in it, compared to the rest of the uterus, which is almost entirely smooth muscle. Hi, ive just been told by the doctors assitant that my pap result came back at grade 3a or a. Cells are collected from your cervix a part of the uterus, or womb and smeared on a glass slide.
The procedure itself is fast, relatively painfree and. Definisi pap smear pap smear adalah pemeriksaan mikroskopis terhadap sel yang diambil dari leher rahim untuk mendeteksi perubahan akibat infeksi virus tertentu seperti human papilloma virus hpv, yang merupakan penyebab utama kanker serviks. Analysis of cervical liquidbased cytology results in eskisehir, turkey. Introduction cytopathological study of cervical smear journalagent. Exfoliative cytology is the practice of using cells shed from some part of the body, or from a tumor. Study design the study design was a retrospective, university hospitalbased design in which the falsenegative results of conventional pap smear cytology were to be evaluated in women who received cervical conization. At this stage, changes to the national cervical cancer screening program mean only women who have never had a pap smear, or were long overdue, will be able to access the selftesting kits. These cells are then evaluated in a laboratory to look for abnormal cells. Pemeriksaan pap smear untuk deteksi kanker serviks. The textual nature of these reports doesnt fit well into the emr flowsheet model where a cell only shows the first 810 characters of a result yet the rigidly defined format of the centricity lab report doesnt lend itself to. Residents ppap smearap smear bioline international. The long common names have been created via a table driven algorithmic process.
Management of adolescent women 20 years and younger with highgrade squamous intraepithelial lesion hsil colposcopic examination mmediate loop electrosurgico excision is unacceptable. Cervical cancer, pap smear, bethesda system, lsil, epithelial cell abnormality. The pap smear is a brushing of cells from the cervix, or opening of the uterus. The pap smear is used to sample the female genital trac t for presence of cellular change s which may indicate cervical or uterine carcinoma or their precursors. Provide age, specimen source, last menstrual period, type of hormones being received, iud, abnormal bleeding, previous abnormal smears, chemotherapy andor radiation. Pdf conventional pap smear and liquid based cytology for. Most information and illustrations in this book are extracted from the authors. A papanicolaou test, also called pap smear or pap test, is a medical screening method that can help prevent cervical cancer. Papanicalaou untuk penapisan awal dari gejala kanker leher rahim. Essentials of pap smear and breast cytology pathology. In order to collect this sample, women are asked to lay back and put their feet up in stirrups. Atlas on bethesda system for reporting cervical cytology. Pap smear free download as powerpoint presentation.
Cytopathologists recognize that certain pap smear findings are suspicious for endometrial pathology in menopausal women. Im supposed to speak to the doctor in 2 hours when hes in and he will explain to me everything. Pemeriksaan ini lebih mudah, murah, sederhana, aman dan akurat. Ok so 3 years ago i had a normal pap and negative for hpv, a week or so ago i had an abnormal papsmear showing asch and im so scared in have a colposcopy on the 21st of this month, but it seems to long im worried its cervical cancer and know nothing about what asch means and the internet just keeps telling me it could be. The trick of the smear is that it is often based on some shred of truth, but these mediadriven hit pieces are designed to obscure the truth. Cervical cancer is still ranked in the first place of those.
Dec 22, 20 5 unsatisfactory for evaluation conventional smear 75 cells in this field, smear should be reported as unsatisfactory if all fields have these many or less cells unsatisfactory for evaluation conventional smear if 50 75% of the slide has this appearance, obscuring inflammation should be mentioned in the quality indicators section of the. Meskipun kanker tergolong penyakit mematikan, namun sebagian besar dokter ahli kanker menyebutkan bahwa dari seluruh jenis kanker, kanker servik termasuk yang paling bisa dicegah dan diobati apabila terdeteksi sejak awal. Written by veronica angel illustrated by fred volke d e c o d a b l e 3 nan and pap nan and pap a reading az decodable book. The abnormal smears included those in which there was a squamous epithelial abnormality or glandular epithelial cell abnormality. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
Berbeda dengan indonesia, pap smear belum terbukti mampu meningkatkan temuan kanker serviks stadium dini dan lesi perkanker. A pap smear and a pelvic exam are not the same thing. Discuss the bethesda classification of pap smear testing and evaluation. This result indicated mild cellular cervical changes with an unknown cause. Falsenegative results of conventional papanicolaou. Terminology for reporting results of cervical cytology.
Pap smear merupakan pemeriksaan sitologi eksfoliative dengan memeriksa selsel epitel cervix yang lepas. The pap smear for detection of cervical cancer should include samples of cells from the ectocervix, transformation zone, and endocervical canal. Automated pap smear screening does not increase costs to the patient beyond normal laboratory fees. Cytology pap smeargynecological specimen principle. Lab report formatting for pap smears narrative lab reports such as pap smears have long been a frustration for emrs. Pap smear screaning in the primary health care setting. Oct 11, 2016 an abnormal pap smear isnt a one size fits all type thing. Di negara maju, skrinning pap smear terbukti dapat menemukan lesi prakanker. During a pap smear, your doctor takes a sample of cells from your cervix to be tested and examined. Evaluation of a pap smear screening program for elderly. A pap smear is a sample of the tissues of the cervix and sometimes vagina. This technique has proven to be very effective at not only detecting cancer, but the precancerous, reversible changes that lead to cancer. Tujuan dari deteksi dini kanker servik atau pemeriksaan pap smear ini adalah untuk menemukan adanya kelainan pada mulut leher rahim. The importance of pap smears and why you should have them.
Specimen is fixed, stained and studied for morphology under microscope. Alcohols used for wiping the skin may cause hemolysis and artifacts. Papanicoloaou more than 50 years ago, is a cellular specimen removed from the lower female genital tract which is used in routine screening for cancer. The united states preventive services task force now recommends women receive their first pap smear at age 21, repeating the test every three years until age 29. An institutionbased cervical pap smear study, correlation with. Pap smear, neoplasia, cervical cancer flashcards quizlet. Pdf the correlation between medical personnels attitude and. If you are over 65 years old, ask your doctor if you can stop having a pap smear.
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