Primary tabs

Did you mean
team held codes

Search results

  1. Medical Service

    Head & Neck Surgery

    The Brooklyn Hospital Center's Division of Head and Neck Surgery manages the diagnosis and surgical treatment of benign and malignant tumors of the head and neck. Staffed by a team of highly capable sur ...

  2. Medical Service

    Otolaryngology

    mon Conditions and Services Head and neck infections, cysts, lesions, masses all ... cer papillomas spasmodic dysphonia throat infections vocal fold nodules Head ...

  3. Medical Service

    Pediatric Surgery

    infections congenital anomalies and tumors of the head, neck, chest, abd ...

  4. Medical Service

    Plastic Surgery

    years of specialty training in head and neck surgery and facial pla ... of the head and neck provides the facial plastic surgeon with a strong foc ...

  5. Medical Service

    Allergy & Immunology

    rrhea, headache, runny nose itching of the nose, mouth, throat, skin, or any ...

  6. Medical Service

    Neurology

    disorders neck and back pain stroke headaches carpal tunnel syndrome ...

  7. Medical Service

    Nuclear Medicine

    imaging equipment including one single-head and three dual-head gamma cam ...

  8. Medical Service

    Pediatric Genetics

    lude: unexplained developmental/speech delays or mental retardation small head siz ...

  9. Physician

    Heather MacAdam

    Pediatric Emergency Medicine Physician The Brooklyn Hospital Center 121 DeKalb Avenue Brooklyn NY 11201 Specialty:  Pediatric Emergency Medicine Medical School:  University of Pennsylvania School of Medicine Internship:  Jackson Memorial Hospital Residenc ...

  10. Medical Service

    Speech & Hearing

    rehabilitation for head and neck cancer patients Voice disorders (vocal nod ...

Pages

Search | The Brooklyn Hospital Center
 

Primary tabs

Did you mean
team both codes

Search results

  1. Medical Service Parent

    Cancer Care

    cer, but being aware of your body and seeking medical care when you start to notice ...

  2. Heart Disease

    tent above is based on Adam Health Content, for  more details related to  ... .599.6200   HEALTH RESOURCES Wellness for Life Club   What is Your  BODY MASS IND ...

  3. Diabetes

    el.   The content above is based on Adam Health Content, for  more details related ... t is Your  BODY MASS INDEX >   Need Help Losing Weight?  Visit our Wei ...

  4. Article

    Cared For — Body and Mind

    When I woke up in the middle of the night with a very painful "charley horse" in my calf after a trip to Washington DC, I thought nothing of it. I just figured I had strained it from the active day, no big deal. But the pain lingered on, intensi ...

  5. Medical Service

    Dermatology

    n and body, offering skin care for the entire family. Not all skin conditions ... cer, ethnicity matters Malignant melanomas can appear anywhere on the body ...

  6. Medical Service

    Otolaryngology

    and sleep apnea foreign body removal tracheotomy thyroidectomy & par ... d and Neck Surgery foreign body removal infections, cysts, lesions and masses ...

  7. Medical Service

    Wound Care

    O” therapy is a medical treatment that enhances the body’s natural healing ...

  8. Docs

    Docs body content ...

  9. Medical Service

    Palliative Care

    decisions Help improving your body’s tolerance for medications Coordination ...

  10. Medical Service

    Gastroenterology

    o allows for removal of foreign body impacted in the esophagus col ...

Pages

Pap smear

Definition

The Pap smear is a screening test for cervical cancer. Cells scraped from the opening of the cervix are examined under a microscope. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina.

Alternative Names

Papanicolaou test

How the Test is Performed

You lie on a table and place your feet in stirrups. The doctor or nurse gently places an instrument called a speculum into the vagina to open it slightly. This allows the doctor or nurse to see inside the vagina and cervix.

Cells are gently scraped from the cervix area. The sample of cells is sent to a lab for examination.

How to Prepare for the Test

Tell your doctor or nurse about all the medicines you are taking. Some birth control pills that contain estrogen or progestin may affect test results.

Also tell your doctor or nurse if you:

Do not do the following for 24 hours before the test:

Avoid scheduling your Pap smear while you have your period (are menstruating). Blood may make the Pap smear results less accurate. If you are having unexpected bleeding, do not cancel your exam. Your doctor will determine if the Pap smear can still be done.

Empty your bladder just before the test.

How the Test will Feel

A Pap smear may cause some discomfort, similar to menstrual cramps. You may also feel some pressure during the exam.

You may bleed a little bit after the test.

Why the Test is Performed

The Pap smear is a screening test for cervical cancer. Most cervical cancers can be detected early if a woman has routine Pap smears.

Screening should start at age 21.

After the first test:

You may not need to have a Pap smear if you have had a total hysterectomy (uterus and cervix removed) and have not had an abnormal Pap smear, cervical cancer, or other pelvic cancer. Discuss this with your doctor.

Normal Results

A normal result means there are no abnormal cells present. The Pap smear test is not 100% accurate. Cervical cancer may be missed in a small number of cases. Most of the time, cervical cancer develops very slowly, and follow-up Pap smears should find any changes in time for treatment.

What Abnormal Results Mean

Abnormal results are grouped as follows:

ASCUS or AGUS

LSIL (low-grade dysplasia) or HSIL (high-grade dysplasia):

Carcinoma in situ (CIS):

Atypical squamous cells (ASC):

Atypical glandular cells (AGC):

When a Pap smear shows abnormal changes, further testing or follow-up is needed. The next step depends on the results of the Pap smear, your previous history of Pap smears, and risk factors you may have for cervical cancer.

For minor cell changes, doctors will recommend another Pap smear in 6 to 12 months.

Follow-up testing may include:

References

Noller KL. Intraepithelial neoplasia of the lower genital tract (cervix, vulva): etiology, screening, diagnostic techniques, management. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, Pa: Elsevier Mosby; 2012:chap 28.

American College of Obstetricians and Gynecologists. Practice Bulletin No. 131: Screening for cervical cancer. Obstet Gynecol. 2012;120:1222-1238.

American College of Obstetricians and Gynecologists. Practice Bulletin No. 99: Management of abnormal cervical cytology and histology. Obstet Gynecol. 2008;112:1419-1444.

American College of Obstetricians and Gynecologists. Committee Opinion No. 463: Cervical cancer in adolescents: screening, evaluation, and management. Obstet Gynecol. 2010;116:469-472.

Saslow D, Solomon D, Lawson HW, et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. CA Cancer J Clin. 2012;62(3):147-72.



Review Date: 3/11/2014
Reviewed By: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
Search | The Brooklyn Hospital Center
 

Primary tabs

Did you mean
team food codes

Search results

  1. Medical Service

    Orthopaedic Services

    of the foot, knee, shoulder, hip, hand or other joints. We also treat bone ... gery of the Foot, Ankle, Knee and Shoulder Cartilage and Tendon Repair Inpatient ... e Meniscus Tears Torn ACL and Other Ligament Tears Foot and Ankle Achilles ...

  2. Medical Service

    Podiatry

    The Surgical Division of Podiatry offers quality, compassionate health care and state-of-the-art therapies to treat a wide range of foot and ankle disorders. Conditions Treated ingrown toenails ankle sprains ...

  3. Medical Service

    Geriatrics

    entia, Depression, Memory Loss Urinary and Bowel Incontinence Foot Ulcers and Other Slow Healing ...

  4. Physician

    Heather MacAdam

    Pediatric Emergency Medicine Physician The Brooklyn Hospital Center 121 DeKalb Avenue Brooklyn NY 11201 Specialty:  Pediatric Emergency Medicine Medical School:  University of Pennsylvania School of Medicine Internship:  Jackson Memorial Hospital Residenc ...

  5. Heart Disease

    tent above is based on Adam Health Content, for  more details related to  ...

  6. Diabetes

    el.   The content above is based on Adam Health Content, for  more details related ...

  7. Event

    Healthy Back 2 School Fair!

    e blood pressure and foot screenings • Health insurance information • Sch ...

  8. Article

    Saturday in the Park! Annual health fair in Fort Greene Park helps us keep Brooklyn healthy.

    r prostate cancer). Dental and foot screenings, HIV/AIDS education, infant CPR ...

  9. Article

    Saturday In The Park-- TBHC Health Fair Emphasizes Wellness and Prevention

    tal, glucose, blood pressure, cholesterol, postural, foot, PSA, and BMI ...

  10. Article

    Building a Better Health Care Delivery System for Brooklyn Communities

    work.  The report covers 15 zip codes, including Bedford Stuyvesant, Bushwick, Bro ...

Pages