Among the methods of cervical cancer examination, the most classic one is the cervical smear test. The cervical smear test has been used clinically for more than 60 years. The doctor scrapes cells and secretions from the junction of the squamous epithelium and columnar epithelium of the cervix, where cervical cancer is most likely to occur, and then evenly spreads the secretions on a glass slide or stores them in a liquid specimen bottle and sends them to the laboratory for cytological examination. Observe the morphology of exfoliated cells to screen for vaginal and cervical infections, cervical lesions, and cervical cancer. It can also indirectly understand estrogen levels. Laboratory report: Pap grading and TBS classification. Pap test grade I: completely normal. Pap test grade II: more common in postmenopausal women or women of childbearing age with cervical inflammation, refers to the obvious heterogeneity of individual cell nuclei, but does not support malignancy. Pap test grade III: suspected cancer, requires immediate further diagnosis, with approximately a 10% chance of developing into cancer. Pap test grade IV: Severe suspicion of cancer, comprehensive examination is required. Pap test grade V: confirmed cancer. Studies have shown that the missed diagnosis rate of cervical cancer smear tests is about 30%. With the development of technology, TCT has emerged as a cervical cancer test method. TCT is a liquid-based thin-layer cytology technique, which is currently the most accurate detection technology for cervical cancer in China and abroad to replace traditional cervical smear tests, with a diagnosis rate of more than 90%. Combined with the patient's condition, it is mainly necessary to take cervical smears and pathological confirmation. The general cost is about several hundred yuan. |
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