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What is Pap Test?
Pap test cytopathic examination is performed by collecting cells (scrapped) from the uterine vagina and cervix and evaluating them under the microscope after appropriate treatment.
Early diagnosis and treatment of precancerous lesions prevent cervical cancer.
 Is it a painful examination?
Most women agree that although they may feel some discomfort and anxiety, it does not cause pain and lasts very little.
Tell your doctor if:
- you previously had a "pathological" Pap test
- you are pregnant
- take contraceptive pills or other medicines.
Preparation
The last 24 hours before the test should be avoided:
 vaginal washings
the use of tampons or vaginal medications
sexual intercourse, as it may cause unclear results
When is the best day to do the Pap test?
The Pap test should not be taken during menstruation.
The best time to schedule the exam is between the 10th and the 20th day after the beginning of your period.
How is the test done?
 The woman is placed in the position of gynecological examination
The cytologist or the gynecologist places a tool called the "pigmentation" in the vagina. This allows the doctor to better see the inside of the vagina and the cervix
Takes a sample of cells from the surface of the cervix with a special wooden spatula
Then take a sample of cells from the endotracheal with a special brush
These samples are placed on a special glass surface - the "tile"
This "tile" is sprayed with a special spray that fixes the material
This process takes only a few minutes
The cytologist then "stains" the tiles with Pap smear and examines the sample under a microscope
Αποτελέσματα
| Insufficient sample |
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May the Pap test answer you get to write that the sample is inadequate or unsuitable for diagnosis.
This may mean that:
- the sample does not have enough cells to be able to study in the microscope the cytologist
- the cells are covered by inflammatory cells or have a lot of blood
- In this case, the Pap test should be repeated to ensure that the test is correct
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| Negative test |
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Negative for intraepithelial lesion or malignancy
This Pap test response means that cells studied under the microscope are not pathological.
It may be reported in the same answer that there are inflammatory lesions of the cells (inflammation). In this case, the micro-organism that causes the inflammation (grains, fungi, bacteria, trichomonias, herpes, etc.) is also mentioned. Do not worry when you see this answer. But you should get the right treatment.
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| ASC-US |
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"ASC-US - Plaque cell undetectable plaque"
This answer means that the cytologist when examining the sample under the microscope noticed some cells that do not seem normal. But it can not determine their origin.
Many times these cells "hide" an "intraepithelial lesion" and more particularly a low-grade intraepithelial lesion (LSIL).
In this case, you should check again or perform specific examinations (colposcopy, HPV typing) according to the doctor's instructions.
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| ASC-H |
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"ASC-H - Plaque cell aspiration without a high degree of intraepithelial lesion"
This answer means that the cytologist when he studied the sample under the microscope noticed some cells with alterations - "changes" that suspect an "intraepithelial lesion" and more specifically a high degree of intraepithelial lesion (HSIL).
In this case, you should perform specific examinations (HPV typing, colposcopy, etc.) and check again according to the doctor's instructions.
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| LSIL |
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"LSIL - Low-grade intraepithelial lesion"
When the virus enters the cells of the vagina or cervix it can remain inactive or can cause "changes" in cells called "intraepithelial lesions" or SIL (Squamous intraepithelial lesions).
This answer includes a simple HPV infection or there may be slight dyskaryotic lesions (may also be referred to as CIN I).
This means that the cytologist when examining the sample under the microscope noticed slight alterations, mild "changes" in the cells
In this case, you should follow the doctor's instructions.
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| HSIL |
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"HSIL - High-grade intraepithelial lesion"
When the virus enters the cells of the vagina or cervix it can remain inactive or can cause "changes" in cells called "intraepithelial lesions" or SIL (Squamous intraepithelial lesions).
This response includes moderate (may be referred to as CIN II) or severe (may also be referred to as CIN III) dyskaryotic lesions.
This means that the cytologist when he studied the sample under the microscope noticed more serious "changes" in the cells.
In this case, you should perform specific tests (HPV typing, colposcopy, biopsy, etc.) and check again according to the doctor's instructions.
It is very important that you follow the instructions that will give you and do not leave them for later.
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| Acute glandular cells |
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This answer means that in the sample examined under the microscope there are glandular cells that do not "look" physiologically.
In this case, you should follow the doctor's instructions.
"Informal glandular cells, possibly of neoplastic origin"
This answer means that the cytologist when he studied the sample under the microscope noticed some cells with glands - "changes" that may have originated from an adenocarcinoma.
In this case, further check (scraping) of the endotracheal or endometrial should be done according to the doctor's instructions.
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| Positive test |
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"Cytological picture of squamous carcinoma"
The answer is that it is cervical cancer.
The woman should be referred for further examination and treatment in a particular oncologist.
"Cytological image of adenocarcinoma"
This answer includes cancer of the endothelial but also of the endometrium of the ovary or other carcinomas.
The woman should be referred for further examination and treatment in a particular oncologist.
"Other malignant neoplasms"
This answer includes other types of cancers, so the woman should be referred for further examination and treatment in a specific oncologist.
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Learn more about
HPV virus Cervical uterus cancer
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