Colposcopy and Programme Management - Cytology Training Centre

Recommendations

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Low grade referral Colposcopy N Cytology @ 6/12 Negative b/line Mild or worse Routine recall negative repeat @ 12/12 b/line b/line + Cervical cytology should not be repeated at first colposcopy following referral for cytological abnormality (continued) mild or worse Reassesment @ colposcopy
Multidisciplinary team meetings • Facilitates high quality care/ local peer review of screening programme. • Organisation of MDT determined locally. • Colposcopy MDT either separate meeting or distinct part of gynaecological cancer MDT meeting. • 1 MDT/ trust: MDT details of caseload to be locally decided: – inclusion of all mismatch likely to result in big MDT caseload – local MDT to define what is mismatch and who should select these. Membership • Members of MDT should include cytologists, histopathologists, colposcopists. • Chair of meeting should be member with management role in delivering local screening programme – eg. hospital based coordinator, lead colposcopist, lead cytologist, lead histopathologist.
Page 1 and 2: Colposcopy and Programme Management
Page 3 and 4: • No change to any data items req
Page 5 and 6: In general • No planned change to
Page 7 and 8: Diagnosis and management of cGIN
Page 9 and 10: In general (continued) Invasive dis
Page 11 and 12: In general (continued) Follow up
Page 13 and 14: In general (continued) Clinic staff
Page 15 and 16: In general (continued) • All colp
Page 17 and 18: Benign endometrial cells (continued
Page 19 and 20: Cervical screening for women expose
Page 21: Cervical cytology should not be rep
Page 25 and 26: Frequency of MDT meetings • MDT s
Page 27 and 28: Information given to patients follo
Page 29 and 30: Follow-up for women after treatment
Page 31 and 32: Follow-up for women after treatment
Page 33 and 34: Follow up after hysterectomy (conti
Page 35 and 36: Follow up after hysterectomy (conti
Page 37 and 38: Management for women following trea
Page 39 and 40: Where does HPV testing fit into the
Page 41 and 42: HPV testing to triage low-grade abn
Page 43 and 44: HPV testing to triage low-grade abn
Page 45 and 46: 12 responses Austria, Belgium, Croa
Page 47 and 48: Beyond No 20 - European picture 200
Page 49 and 50: Recurrent inad cytology HPV test 12
Page 51 and 52: But… • HPV types in the UK chan
Page 53 and 54: • CDC6 - cell division cycle prot
Page 55 and 56: Summary • General tidying up •

Colposcopy and Programme Management - Cytology Training Centre

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