vaginal cytology

Cytological examinations are mainly used for the screening of female reproductive system malignancies. The female reproductive organs consist of the vulva, vagina, uterus, fallopian tubes and ovaries. Find tumor cells or cytology grade 5, indicating malignant tumors, such as cervical cancer, ovarian cancer, vaginal cancer and uterine cancer. Cervical cancer is more common in squamous cell carcinoma (squamous cell carcinoma). Ovarian cancer and uterine cancer are mainly adenocarcinoma. Vaginal cancer is also mainly squamous cell carcinoma. Basic Information Specialist classification: gynecological examination classification: microscopy Applicable gender: whether women are fasting: not fasting Tips: Do not use vaginal suppositories two days before colposcopy. Normal value No tumor cells were found, or cytology grade 1 or 2. Clinical significance Find tumor cells or cytology grade 5, indicating malignant tumors, such as cervical cancer, ovarian cancer, vaginal cancer and uterine cancer. Cervical cancer is more common in squamous cell carcinoma (squamous cell carcinoma). Ovarian cancer and uterine cancer are mainly adenocarcinoma. Vaginal cancer is also mainly squamous cell carcinoma. Cytology level 4 indicates that the patient should have a biopsy. Cytology level 3 indicates that the patient should continue to follow up and have regular cytology. Precautions 1. Do not use vaginal suppositories two days before colposcopy. 2. The hemostatic gauze in the vagina of the patient who is sliced ​​can be taken out at night when bathing. If during this time, there is always a large amount of bleeding after the blood has flowed out or the gauze is taken out, he should immediately go to the emergency room of the hospital for treatment, but This situation is very rare. 3. Patients who are sliced ​​should not go to the house for two weeks. Return to the clinic about a week later to hear the report, including a section of the pathology report, and receive treatment. Inspection process 1. Sexual intercourse, bathing, vaginal lavage and medication should be prohibited 24 hours before the specimen collection. 2. The position patient takes the supine position, the legs are separated, and the genital area is disinfected with the new clean. 3. Check for cancer cells. Cervical scraping method: expose the cervix with a vaginal device, gently blot the surface secretions, and then use a scraper to rotate clockwise or counterclockwise on the surface of the cervix for 1 week, or use a cervical brush to enter the neck tube about 1cm. After another rotation for 1 week, the scraped secretions are applied to the slide in the same direction. If the cancer of the fallopian tube or endometrial cancer is suspected, the secretion can be absorbed in the neck tube and the posterior iliac crest at the same time, one drop on each slide. Apply it in one direction. After sputum suction method: insert the glass tube with rubber ball into the posterior vaginal canal, and use a straw to absorb secretions in the neck tube and the posterior iliac crest (the main point is to pinch the rubber ball in advance to exclude air. When the straw is inserted, 穹窿After that, slowly relax the rubber ball so that the sputum secretion can be sucked into the tube). After the glass tube is withdrawn, the secretion is uniformly applied to the slide, spread in the same direction, and immediately placed in the fixing solution for fixation. 3. Check estrogen levels. Use a vaginal device to open the vagina, use a scraper to 1/3 of the vaginal wall from the mouth, take a small amount of secretions, smear in the same direction on the slide. Unmarried people can use a fine cotton swab dipped in normal saline, squeezed and inserted into the upper part of the vagina, and rotate the material on the side wall. Apply the film in the opposite direction to the slide. 4. All the coated slides should be marked with the number, immediately put into the fixed solution, the slide surface should not touch each other, at least 15-20min. 5. Fill in and check the cytology checklist, patient name and number on the slide. 6. Smear staining is commonly used for Pap staining, which can be used to check estrogen levels as well as cancer cells. Not suitable for the crowd Pregnant women should not carry out when they have a cold. Adverse reactions and risks May cause vaginal infections.

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