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Abnormal Pap test

Provided by: Healthwise
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A Pap test is done to look for changes in the cells of the cervix. During a Pap test, a small sample of cells from the surface of the cervix is collected by a doctor. The sample is then spread or smeared on a slide (Pap smear) or mixed in a liquid and sent to a lab for examination under a microscope.

An abnormal Pap test shows that cells in the cervix have changed from a normal to an abnormal appearance. About 5% to 10% of women will have an abnormal Pap test, but only a few of these abnormal results are likely to lead to cervical cancer. Abnormal cell changes of the cervix rarely cause symptoms, so it is important to have regular Pap tests to find cell changes.

Many abnormal Pap tests are caused by an infection of human papillomavirus (HPV) that will go away on its own and will not lead to cancer.

There are several choices for managing minor cervical cell changes, which may include watchful waiting. Treatments for moderate to severe cell changes destroy or remove the abnormal tissue.

Author:Shannon Erstad, MBA/MPH
Medical Review:Joy Melnikow, MD, MPH - Family Medicine
Barbara S. Apgar, MD, MS - Family Medicine, Women's Health
Ross Berkowitz, MD - Obstetrics and Gynecology
Last Updated: 01/12/2007

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