May 30, 2016
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Pap Smear (cont.)

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How is the final Pap smear diagnosis made?

The final Pap smear diagnosis is based on three determining factors:

  1. The patient's history: The reader (the person reading the smear) takes into account the woman's history as noted on the lab request by the clinician performing the smear.
  2. Sample adequacy: The reader then decides whether the sample was adequate for interpretation.
  3. The presence or absence of cellular abnormalities: The reader then notes whether cellular abnormalities were seen on the slides. If the appearance of the Pap smear does not seem to coincide with the woman's clinical history, a comment may also be made to that effect.

The final diagnosis is a short statement that summarizes what the reader has found.

What are the possible recommendations for follow-up after a Pap smear?

Once the final diagnosis has been made, the follow-up recommendation informs you what the appropriate next step(s) might be. For example, if the final diagnosis states that the smear was "within normal limits," the appropriate follow-up might be "recommend routine follow-up."

An abnormal Pap smear is one in which the laboratory interprets the cellular changes to be different from those normally seen on a healthy cervix. There are a number of possible follow-up scenarios for an abnormal Pap smear.

Medically Reviewed by a Doctor on 1/6/2016

Source: MedicineNet.com
http://www.medicinenet.com/pap_smear/article.htm

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