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CST Women 25 to 74 years Women 70-74 years have an exit screen…

- - - - PRE-CANCEROUS LESIONS
        
        LSIL and HSIL, AIS
        
        Will progress to cancer if untreated
        
        LLETZ procedure can be performed
        
        Less commonly a cone biopsy can be done with a scalpel
        
        TEST FOR CURE
        
        LSIL/HSIL
        
        CST is performed at 12 and 24 months post-treatment
        
        Once woman passes on 2 consecutive occasions, she is deemed to pass the test for cure and returns to 5-yearly screening
        
        AIS
        
        Woman will require indefinite yearly CST (HPV + reflex LBC co-test) screen
      - CANCEROUS LESIONS
        
        CAUSES
        
        Infection with HPV
        
        Smoking
        
        Early age coitarche
        
        Multiple sexual partners
        
        Immunosuppressed
        
        Persistent infection with HPV 16 or 18
        
        TYPES
        
        SCC (95%)
        
        ADENOCARCINOMA (5%)
        
        SYMPTOMS
        1) IMB
        2) HMB
        3) PCB
        4) Dyspareunia
        5) Unusual discharge
        6) Tiredness
        7) Low back pain
        
        TREATMENT
        
        Radical hysterectomy with resection of pelvic lymph nodes OR chemoradiotherapy