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Management of an abnormal smear
1Department of Obstetrics and Gynaecology, Coombe Hospital, Dublin, Eire.
British Journal of Hospital Medicine
|November 4, 1992
Summary
Women with abnormal cervical smear results indicating moderate or severe dyskaryosis require colposcopy. This procedure, along with large loop excision of the transformation zone, effectively treats these cervical abnormalities.
Area of Science:
- Gynecology
- Cervical Pathology
- Colposcopy
Background:
- Cervical cancer screening detects precancerous changes.
- Abnormal cervical smears necessitate further investigation and management.
Purpose of the Study:
- To outline the principles of colposcopy for evaluating cervical abnormalities.
- To describe the treatment of moderate to severe dyskaryosis using large loop excision of the transformation zone (LLETZ).
Main Methods:
- Colposcopic examination guided by visual inspection.
- Large loop excision of the transformation zone (LLETZ) for tissue removal.
Main Results:
- Colposcopy allows for targeted biopsy and assessment of cervical lesions.
- LLETZ is an effective treatment for cervical intraepithelial neoplasia.
Conclusions:
- Referral for colposcopy is crucial for women with moderate or severe dyskaryosis.
- LLETZ is a standard and effective treatment modality for significant cervical abnormalities detected during colposcopy.
