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Nieprawidłowy wynik badania cytologicznego – co dalej?

Nieprawidłowy wynik badania cytologicznego – co dalej?

Nieprawidłowa cytologia Zgodnie z opinią światowych ekspertów nieprawidłowe wyniki badania cytologicznego należy uzupełnić testem w kierunku diagnozy zakażenia wirusem HPV. Niemniej jednak wielu lekarzy zaleca wykonanie testu nawet przy prawidłowym wyniku cytologii po to aby, w pełni ocenić ryzyko wystąpienia zmian patologicznych w obrębie szyjki macicy..

Wynik Pap III lub ASC-US

Spis treści

Niezależnie od metody badań cytologicznych, wynik Pap III (3 grupa cytologiczna uzyskana metodą Papanicolau) lub Asc-Us (badanie wykonane metodą Bethesda), jest uważany za wynik “podejrzany”. Wynik taki oznacza, iż w Twoim rozmazie znaleziono tzw. komórki atypowe o nieokreślonym znaczeniu. Mogą to być np. komórki spowodowane stanem zapalnym lub nieprawidłowe komórki szyjki macicy.

W tej sytuacji pacjentka powinna zostać poddana powtórnemu badaniu cytologicznemu po to, by sprawdzić czy komórki te nadal występują czy nie. Zaleca się również uzupełnienie badania testem HPV. Jeśli wynik testu będzie dodatni wówczas zostaniesz poddana dalszej diagnostyce (zostaniesz skierowana na badanie koloskopowe). [1]

Wyniki kolejnych, wyższych grup cytologicznych (np: Pap IV itd.), wskazują na obecność komórek nowotworowych i zdecydowanie wymagają dalszych badań diagnostycznych. Niewykluczone, że na tym etapie lekarz zaproponuje również wykonanie testu DNA HPV.

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W jaki sposób mogę sprawdzić, czy jestem zarażona wirusem HPV

Jedynym i skutecznym sposobem wykrycia HPV jest test DNA (badanie genetyczne), którego czułość wynosi około 100%. Inne badania takie jak cytologia czy kolposkopia (które powinnaś wykonywać regularnie), mają nikłą czułość w wykrywaniu wirusa HPV. Dlatego test DNA HPV jako jedyny jest w stanie wykryć infekcje i dodatkowo określić jakim typem wirusa HPV jest zarażona pacjentka.

Porównanie skuteczności testu HPV oraz cytologii…

Spis treści

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