Pap Smear Test *for GIRLS*, all that u need to know
Pap Smear Test *for GIRLS*, all that u need to know
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Nov 24 2008, 06:07 PM
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Senior Member
1,016 posts Joined: Apr 2006 |
wow,good explaination there.. u can become a dr..
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Nov 24 2008, 07:31 PM
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Senior Member
847 posts Joined: Nov 2004 |
3. If pap smear should given to girl who already have sex before, then how a virgin can test for uterus cancer ?
it's commonly seen in post menopausal women, also in peri menopausal women...predisposing factors as mentioned, nulliparous, polycystic ovarian syndrome, obesity, hypertension, diabetes. to diagnose carcinoma of endometrium, need a good history.. usually they present with irregular per vaginal bleeding, spotting. in pre-menopausal women, what is significant is that they have intermenstrual bleeding... weight lost and lose of appetite is also one of the symptoms, but it can apply to most of the malignancies or chronic disease. usually, vaginal examination finding is unremarkable... in later stage, you might find a growth at the cervix, in the sense if the tunour spread to cervix. bimanual examination will reveal a large uterus. if disease spread to the ovaries and tubes, mass can be felt either one side or both. to confirm the diagnosis, we need to take a proper biopsy by formal dilatation and curettage or a pippele sampling. another method is to use hysteroscope to look into the endometrium. then follow by a CT scan to see the extension of spread and staging. |
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Nov 24 2008, 08:14 PM
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Senior Member
1,382 posts Joined: Nov 2006 |
QUOTE(sandboxz @ Nov 24 2008, 05:55 PM) However, in http://www.wrongdiagnosis.com/u/uterine_cancer/intro.htm show that uterine cancer can be test by pap smear. So any comments ? (Sorry not to offend you but I just want to clear my confuse only) What you saw was this izit? "Diagnostic Tests for Uterine Cancer # Physical exam # Pelvic exam # Pap smear " Personally, I'm surprised to see that stated there! Why? 1. It has been studied that pap smear's "diagnostic sensitivity is highest (BEST) for (detecting cervical cancer) invasive endocervical adenocarcinoma and lowest (not reliable) for diagnosis of (uterine cancer) endometrial adenocarcinoma." - taken from a research paper published in 2000 Diagnostic Cytopathology. So this means that, it is not the screening tool of choice because chances to miss uterine cancer is HIGH. Since it chances to miss it is HIGH, doctors do not use it on uterine cancer at all - 2. Uterine cancer (endometrial cancer) means that the endometrium (cells) is the lining of the uterus is cancerous. This sits far above the cervix. Logically, a Pap smear doesn't test it It was designed to look for the cervical cells. Unless like i said in the previous post, it is a large huge cancer bulk that is shedding its cells into the cervical canal! Then at this time the cancer which would be very very advanced, and it would be very obvious to the doctor that you are having uterine cancer. This time around, the doctor would have used the ultrasound ( which is less invasive) to look into your abdomen instead of sticking a wooden spatula into your private parts. The doctor will check for it only when he is suspicious of you developing it. How to check ? By what exam / test ? 1. Ultrasound of the uterus and the surrounding area Another questions : 1. Will virgin get uterine cancer ? Research have shown that people who are obese, smokes, single, never got pregnant before has a higher chance. 2. Will virgin get cervical cancer ? The risk is lower because they are not exposed to HPV which causes 80-90% of cervical cancers. Are "single" = virgin ? |
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Nov 24 2008, 11:08 PM
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Senior Member
847 posts Joined: Nov 2004 |
single doesn't means virgin.
that's why the doctor always ask whether she's sexually active or not.. |
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Nov 25 2008, 01:14 AM
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Junior Member
169 posts Joined: Nov 2008 From: BJ, Seremban |
yes.. i meant virgin. :")
Hmm.. another thing to add.. endometrial cancer mostly occurs in the postmenopausal age.. |
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Nov 26 2008, 01:11 AM
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Senior Member
1,016 posts Joined: Apr 2006 |
usually at that age all they do is total hysterectomy..
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Nov 26 2008, 01:58 AM
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Senior Member
718 posts Joined: Nov 2008 |
Wah liao... you aspect people of decent intelligence to understand all your medical talk? Hmm.. should learn to start talking in layman terms, definitely helpful for your future practice! Cheerios!
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Nov 26 2008, 12:57 PM
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Junior Member
169 posts Joined: Nov 2008 From: BJ, Seremban |
I know it's a little
If a nurse coming as a patient and starts using jargon, you'll sure to follow suit. Here, if some of us starts using jargon, you can ask to what he/she means. Well, this is a forum, aka 2 way thing. Nobody'll make fun of you! and we would be happy to help. And, i'm sure at this Google Age, you can type in "define hysterectomy" " hysterectomy" and pop, your answer is there. Hence, fireball, All of us are human beings trying to be the better man. We are constantly learning. We make mistakes. We rectify them. We change. Anyway, just my 2 cents, please do suggest things a nicer way.. others might be offended easily. We are trying our best to help, and hope you do the same too. This post has been edited by sandboxz: Nov 26 2008, 01:10 PM |
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Nov 26 2008, 03:55 PM
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Senior Member
847 posts Joined: Nov 2004 |
well, medical field is broad, a lot of things has to be taken into consideration before a decision is made.
website serve as a guidance only, human presentation can be very variable...that's why, in the end, we need doctor to get to the final diagnosis. anyway, not all sources are correct. especially the wikipaedia one...haha ... you should check on to medical journals, recognized health society, clinical practice guidelines which give the correct description. about the hysterectomy, i couldn't really give you the answer, because there's no scenario given. but if you refer to cancer of the uterus, yes, no choice - you have to do totaly hysterectomy, in addition, both ovary also have to remove. even at stage 1a (the mildest stage). age wont be a consideration in this case, because there's a high chance of spread(uterus got a lot of blood vessels) |
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Nov 27 2008, 01:31 AM
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Senior Member
718 posts Joined: Nov 2008 |
QUOTE(sandboxz @ Nov 26 2008, 12:57 PM) I know it's a little I believe my suggestion was quite polite, and I'm glad you're not offended, because it would be foolish for a person of high standards to be affected by a simple statement, hence you gain my respect there If a nurse coming as a patient and starts using jargon, you'll sure to follow suit. Here, if some of us starts using jargon, you can ask to what he/she means. Well, this is a forum, aka 2 way thing. Nobody'll make fun of you! and we would be happy to help. And, i'm sure at this Google Age, you can type in "define hysterectomy" " hysterectomy" and pop, your answer is there. Hence, fireball, All of us are human beings trying to be the better man. We are constantly learning. We make mistakes. We rectify them. We change. Anyway, just my 2 cents, please do suggest things a nicer way.. others might be offended easily. We are trying our best to help, and hope you do the same too. In regards to your nurse story, it's very simple. There's no nurses here, not a hospital or clinical scenario, it's a forum where all kinds of people medically inclined and non-medically inclined come to read. So the fact is, the situation here is a PUBLIC forum To be honest, there's so many jargons in the posts above that it is almost impossible to search the meaning of each and every word! Simple conclusion, speak simple, to be heard and understood by everyone. Impressing with jargons shows lack of attention and experience. Dont take it to heart, it's just my 2 cents worth as well |
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Nov 27 2008, 05:26 AM
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Senior Member
847 posts Joined: Nov 2004 |
inevitable...
if he's a real doctor/medical students...the medical terms just pop out from his head like that... anyway, it's okie as long as you put a bracket there to define the medical terms you used...so that people like us can understand better. plus, we learn new words everyday... |
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Nov 27 2008, 05:58 PM
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Junior Member
169 posts Joined: Nov 2008 From: BJ, Seremban |
QUOTE(Fireball9 @ Nov 27 2008, 01:31 AM) In regards to your nurse story, it's very simple. There's no nurses here, not a hospital or clinical scenario, it's a forum where all kinds of people medically inclined and non-medically inclined come to read. So the fact is, the situation here is a PUBLIC forum Fireball,To be honest, there's so many jargons in the posts above that it is almost impossible to search the meaning of each and every word! Simple conclusion, speak simple, to be heard and understood by everyone. Impressing with jargons shows lack of attention and experience. Dont take it to heart, it's just my 2 cents worth as well The nurse story was an illustration. But, i'm not taking it to heart. We must be crystal clear in our aim - to help. not to impress and not to degrade And yes, we sometimes get too carried away, excited maybe.. but, we'll be putting brackets beside the jargon we are using; like what klifex said, no harm in learning new words. Anyway.. I think we should get back to the original topic of pap smear. This post has been edited by sandboxz: Nov 27 2008, 11:26 PM |
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Nov 27 2008, 06:54 PM
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Senior Member
1,382 posts Joined: Nov 2006 |
From my point of view, actually you all are given opinion / suggestion with politely, so I hope you all don't have any conflict here. I believe all is willing to help people.
Actually given bombastic word (ie. medical word) is good to us to improve our knowledge provided there is no discrimination. |
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Nov 27 2008, 11:22 PM
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Junior Member
169 posts Joined: Nov 2008 From: BJ, Seremban |
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Nov 28 2008, 01:40 AM
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Senior Member
718 posts Joined: Nov 2008 |
Surely peace.. we have been peaceful all these while, and will continue to maintain peace!
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Nov 28 2008, 02:25 AM
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Junior Member
169 posts Joined: Nov 2008 From: BJ, Seremban |
Added on November 28, 2008, 2:26 amoh yah... forgot to add, when doing pap smear, preferable time is to do it at the end of your period ( like day 4 / 5 if yours is a 5 day cycle) This post has been edited by sandboxz: Nov 28 2008, 02:26 AM |
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Nov 28 2008, 08:08 AM
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Senior Member
718 posts Joined: Nov 2008 |
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Nov 28 2008, 01:11 PM
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Junior Member
169 posts Joined: Nov 2008 From: BJ, Seremban |
from what i understand,
at the end of menstruation, your external os ( opening of the cervix) will be more exposed, easier to get samples from there - hence lower chance of specimen collection failure |
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Nov 28 2008, 01:36 PM
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Senior Member
718 posts Joined: Nov 2008 |
QUOTE(sandboxz @ Nov 28 2008, 01:11 PM) from what i understand, I c... but how about period mixing with the specimen? Wouldnt that show RBC which would lead to failure as well?at the end of menstruation, your external os ( opening of the cervix) will be more exposed, easier to get samples from there - hence lower chance of specimen collection failure |
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Nov 28 2008, 05:03 PM
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Junior Member
169 posts Joined: Nov 2008 From: BJ, Seremban |
hmm... good point..
that's why you have to be "dry" when you go to do pap smear. I got to rectify my statement then It'll be, say you have a 5 day cycle ( meaning it finishes at 5th day), ideal timing would be on the 6th day up to 1 week after. Similarly, for uterine device ( thing you put in your uterus to prevent pregnancy), great timing would be at end of your menstruation. Why? to make sure she is not pregnant, and because the opening is softer - less pain and injury Q & A on Pap Smear This post has been edited by sandboxz: Nov 28 2008, 05:13 PM |
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