Name of the Procedure:

Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and computer-assisted rescreening using cell selection and review under physician supervision (Deprecated).

Summary

This procedure involves collecting cells from the cervix or vagina using a preservative fluid. The collected sample is then prepared as a thin layer on a slide for examination. The cells undergo an initial manual screening followed by a computer-assisted re-evaluation. Finally, a physician supervises the review process. Note: This specific methodology is deprecated and may no longer be in use.

Purpose

The primary goal is to detect abnormalities in cervical or vaginal cells, such as precancerous changes or infections, to prevent the progression of cervical cancer and other medical conditions.

Indications

• Abnormal vaginal bleeding
• Pelvic pain
• Previous abnormal Pap smear results
• High-risk factors for cervical cancer, such as HPV infection

Preparation

• Avoid douching, using tampons, or vaginal medications 48 hours before the test.
• Schedule the test when not menstruating.

Procedure Description

1. Collection: A sample of cells is collected from the cervix or vagina using a brush or spatula.
2. Preservation: The collected sample is placed in a liquid preservative.
3. Preparation: The sample is processed to create a thin layer of cells on a microscope slide.
4. Screening: Laboratory technicians manually screen the slide for abnormalities.
5. Computer-assisted Rescreening: Specialized software rescreens the slide to ensure accuracy.
6. Review: A physician reviews the results before making a final diagnosis.

Duration

The sample collection takes around 5–10 minutes. The entire process, including analysis, may take several days.

Setting

The sample collection is typically performed in a gynecologist's office or an outpatient clinic. Analysis is conducted in a specialized laboratory.

Personnel

• Gynecologist or trained healthcare provider for sample collection
• Cytotechnologist for manual screening
• Medical Laboratory Technician for computer-assisted rescreening
• Physician for final review and diagnosis

Risks and Complications

• Mild discomfort or spotting post-sample collection
• Rare risk of infection or injury during sample collection

Benefits

The procedure helps in the early detection of cervical cancer and other abnormalities, allowing timely intervention and treatment.

Recovery

• Post-procedure, patients can typically resume normal activities immediately.
• Follow any specific instructions provided by the healthcare provider.

Alternatives

• Traditional Pap smear (manual screening only)
• HPV DNA test
• Colposcopy for a more detailed examination

Patient Experience

Patients may feel slight discomfort during cell collection but generally do not experience significant pain. Post-procedure, some mild spotting may occur. Most patients can immediately return to daily activities without any special care.