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PAP-test   and   COLPOSCOPY

The Pap-test is a cytological examination  proposed from Papanicolaou in 1943. It has the task to estimate normality of the cells of the uterine cervix or, on the contrary, to recognize the patients affected from lesions of uterine cervix not still of tumoral type, but with evolutionary potentiality in frankly neoplastic sense. Such lesions are called Dysplasia. A microscopical acknowledgment of this lesions (than is not valued clinical and macrocospically) concurs their treatment, with surgical operation sometimes very simple, and therefore conservative for the function of the uterus, preventing therefore their degeneration in neoplastic sense. True prevention of the cervical cancer uterus is come therefore to put into effect one.

In presence of marked anomalies from the Pap-test, the execution of the Colposcopia is indicated.

This examination,  executed by an optical instrument (Colposcope) and of chemical reagents (acetic acid and an iodine solution called  Lugol's Solution), is performed to examine  the surface of the uterine cervix and the vaginal walls, with magnifications 10-20 X, to the search of eventual anomalous areas on which execute a biopsy (executed that is under colposcopic guide) in order to arrive to diagnosis.

 

PAP-test (cytology)

diagnostic suspicion
COLPOSCOPY 

localization of the lesion
BIOPSY (histology)

histologic confirmation of the lesion
 

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