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Last Updated: Oct 23, 2019
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Abnormal Pap Smear - What Should You Do In Such A Case?

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Dr. Shruti BhatiaGynaecologist • 28 Years Exp.DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology, MBBS
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A Pap smear test helps in detecting the signs and onset of cervical cancer. This test helps in pointing at the presence of any suspicious cells that may require further examination and testing with the help of an oncologist. You will enjoy a negative result in case you have a normal reading during the examination process and no further treatment will be required. Yet, you will be asked to go through the test on a regular basis. But here is what happens if you have an abnormal reading.

  1. Positive Result: You are said to have a positive result, if you any unusual or abnormal cells were found during this Pap Smear Test. While this may not necessarily mean that you have cervical cancer, it can show what kind of abnormal cells are present in this area of your body. The doctor will check for the following things after a positive result.
  2. ASCUS: This is also known as Atypical Squamous Cells of Undetermined Significance. This is a liquid based test that will seek to study the thin and flat squamous cells that may be found on the surface of a perfectly healthy and normal cervix. This test will check for the presence of any virus that may lead to the development of cancer and to determine the level of risk to the patient. Further, if there is any high risk virus, then further treatment and testing will be required.
  3. Squamous Intraepithelial Lesion: When some of the cells that have been extracted during the Pap Smear test turn out to be precancerous, then they are Squamous Intraepithelial Lesions. In many cases, it takes a few years for these lesions to turn cancerous especially when the changes are low grade, which pertains to the size, shape and other features of the same. If a high grade lesion is detected, then diagnostic testing in the form of imaging tests may be required.
  4. Atypical Glandular Cells: These mucus producing cells grow within the cervical opening and usually spread into the uterus as well. While they may appear abnormal, it is difficult to tell whether or not they are cancerous, especially in the early stages.
  5. Squamous Cell Cancer: This is an almost certain reading of the growth of cancer in the cervix. When a reading from the Pap Smear includes such a finding, the doctor will recommend immediate evaluation.
  6. Colposcopy: Once you have had a positive reading with any of the above findings, the doctor will perform this procedure with sample tissue extracted during a biopsy. This will be done with the use of a special magnifying tool known as a colposcope to examine the cervix, vagina and vulva tissues.

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