cervix chart for sample takers in primary...
TRANSCRIPT
NHS Cervical Screening Programme
Cervix chart for sample takers in primary care
NHSCSP PubliCatioN No 25 aPril 2006
NHS Cancer Screening Programmes
Fulwood House
old Fulwood road
Sheffield
S10 3tH
april 2006
iSbN 1 84463 034 X
Published by:NHS Cancer Screening Programmes Fulwood Houseold Fulwood roadSheffieldS10 3tH
tel: 0114 271 1060 Fax: 0114 271 1089 Email: [email protected] Web site: www.cancerscreening.nhs.uk
© NHS Cancer Screening Programmes 2006
the contents of this document may be copied for use by staff working in the public sector but may not be copied for any other purpose without prior permission from the NHS Cancer Screening Programmes.
iSbN 1 84463 034 X
Further copies of this publication are available from the Department of Health Publications orderline quoting NHSCSP Publication No 25
tel: 08701 555 455 Fax: 01623 724 524 Email: [email protected]
typeset by Prepress Projects ltd, Perth (www.prepress-projects.co.uk) Printed by Charlesworth
Cer
vix
char
t fo
r sa
mp
le t
aker
s in
pri
mar
y ca
reC
ond
itio
nR
eco
mm
end
atio
nsE
xam
ple
s
Nor
mal
cer
vix
Con
tinue
with
cal
l/rec
all a
s pa
rt o
f nat
iona
l scr
eeni
ng p
rogr
amm
e
Cer
vica
l ect
ropi
onTa
ke c
ervi
cal c
ytol
ogy
sam
ple
as in
dica
ted
by c
all/r
ecal
l, m
ay g
et
som
e bl
eedi
ng a
t tim
e of
taki
ng s
ampl
e
Ref
er if
sym
ptom
atic
, eg
post
coita
l ble
edin
g, to
gen
itour
inar
y de
part
men
t (≤
40 y
ears
) or
gyn
aeco
logy
(>
40
year
s)
Nab
othi
an fo
llicl
esR
eass
ure
– ce
rvix
can
hav
e va
ried
appe
aran
ce
Take
cer
vica
l cyt
olog
y sa
mpl
e as
indi
cate
d by
cal
l/rec
all
If in
fect
ion
susp
ecte
d, ta
ke s
wab
s fo
r cu
lture
and
sen
sitiv
ity
Ste
nose
d ce
rvix
If cy
tolo
gy s
ampl
e ad
equa
te, n
o fu
rthe
r in
terv
entio
n
May
nee
d to
use
end
ocer
vica
l bru
sh in
add
ition
to C
erve
x br
ush
to
get g
ood
cyto
logy
Atr
ophi
c ce
rvix
Rou
tine
cerv
ical
cyt
olog
y sa
mpl
e
May
nee
d lo
cal/s
yste
mic
oes
trog
en
Cer
vica
l pol
ypTa
ke c
ervi
cal c
ytol
ogy
sam
ple
as in
dica
ted
by c
all/r
ecal
l (m
entio
n po
lyp
on te
st r
eque
st fo
rm)
Ref
er fo
r re
mov
al o
f pol
yp
Cer
vica
l war
tsTa
ke c
ervi
cal c
ytol
ogy
sam
ple
as in
dica
ted
by c
all/r
ecal
l
May
hav
e a
varie
d ap
pear
ance
, ofte
n w
ith a
ssoc
iate
d
war
ts e
lsew
here
If w
arts
per
sist
, con
side
r re
ferr
al
Cer
vici
tis/v
agin
al
disc
harg
eTa
ke s
wab
s fo
r cu
lture
and
sen
sitiv
ity, i
nclu
ding
Chl
amyd
ia
Con
side
r re
ferr
al if
sym
ptom
s pe
rsis
t afte
r tr
eatm
ent
Cer
vica
l can
cer
Urg
ent r
efer
ral u
sing
can
cer
prof
orm
a
Pre
pare
d fo
r th
e N
HS
CS
P b
y M
r M
ahm
oo
d I
Sh
afi, C
ons
ulta
nt G
ynae
colo
gic
al S
urg
eon
and
Onc
olo
gis
t, A
dd
enb
roo
ke’s
Ho
spita
l, C
amb
rid
ge,
CB
2 2Q
Q, U
K.
The
imag
es h
ave
prev
ious
ly a
ppea
red
in C
olpo
scop
y: A
Pra
ctic
al G
uide
, pub
lishe
d by
Fiv
epin
Ltd
, Sal
isbu
ry, U
K, a
nd a
re r
epro
duce
d w
ith p
erm
issi
on.