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Should the Pap smear be repeated at the first colposcopy visit?
Grace Dolman1, Jeffrey Tan, Michael Quinn
1The University Department of Obstetrics and Gynaecology and Oncology/Dysplasia Unit, Royal Women's Hospital, Melbourne, Australia.
Aim:
To determine whether there is any benefit in repeating the Pap smear at the time of colposcopy in women referred to a teaching hospital dysplasia clinic.
Methods:
Analysis of a computerised database, and review of literature.
Results:
Repeating the Pap smear potentially changed management in 2% of women referred with low-grade lesions, and in 7% of those with high-grade lesions.
Conclusion:
Although the literature suggests that the repeat smear may directly affect the quality of the colposcopic examination, repeating the smear in women referred with high-grade squamous intraepithelial (HSIL) smears may be beneficial.