Cervical smear (TCT)

A cervical smear is a small sample of cells taken from the cervix of the uterus, placed on a glass slide, and then examined under the microscope for abnormalities. As a result of this test, the mortality rate of cervical cancer has been reduced by at least 70%. With a simple Pap smear, doctors can detect tiny, very early changes in the cervix, which can cause a deadly cancer to be attacked even before it actually happens. Cervical scraping is the most simple and effective diagnostic method for extensive examination of cervical cancer. The cervical smear is very simple and the whole process takes only 3 to 6 minutes. This method of diagnosis does not cause cervical damage and does not cause pain. Basic Information Specialist classification: gynecological examination classification: microscopy Applicable gender: whether women are fasting: fasting Tips: Checks should be scheduled for non-menstrual periods. Normal value Papillon grade 1 or TCT is normal. Clinical significance At present, the commonly used methods for cervical smear examination are the traditional Pap method and TCT. The Pap system is divided into 5 levels according to the degree of cervical lesions: Pap 1 is normal. Pap 2 grade - cell changes caused by inflammatory inflammation. Papillon grade 3 - nuclear heterogeneous cells are severely altered and may be caused by inflammation or tumors. Papillon 4 - Suspicious cancer is highly suspected of cervical cancer. Pap 5 grade - cancer determines cervical cancer. TCT divides cervical lesions into: 1. Normal. 2. Benign lesions are caused by cell changes caused by inflammation. 3. Low intraepithelial lesions may be cervical cancer. 4. High intraepithelial lesions are highly suspected of cervical cancer. Precautions Inspection requirements: 1. The examination should be arranged during the non-menstrual period. 2. The inspected person avoids sex life within 24 hours before the scraping. 3. Do not flush the vagina or use the suppository placed in the vagina within 24 to 48 hours before the planned examination. Do not perform an internal vaginal examination. 4, when there is inflammation, first treatment, and then scrape the film, so as not to fill a large number of white blood cells and inflammatory cells, affecting the diagnosis. Inspection process Inspection method: After fully exposing the external cervix, the blade is rotated 360 degrees at the outer mouth of the cervix, and the mucosa and secretions are gently scraped. The removed secretions were then evenly spread on numbered slides, immediately fixed in 95% ethanol for 15 minutes, removed and stained by pasteurization. Not suitable for the crowd Pregnant women. Adverse reactions and risks May cause an infection.