Reference Manual - IARC Screening Group

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Figure 6-1 Sample Flow Diagram for Cervical Cancer Prevention 6-3Figure 6-2 Sample Cervical Cancer Prevention Record Form 6-4Table 6-1 VIA Classification Relative to Clinical Findings 6-7Figure 6-3 Clinical Significance and Location of Acetowhite Lesions 6-7Figure 6-4 Possible Links between VIA Testing and Treatment 6-11Table 7-1 Cervical Cancer Treatment Options 7-1Table 7-2 Comparison of Treatment Options 7-2Table 7-3Cryotherapy for Treatment of CIN: Key Studies with at Least 1 Yearof Followup 7-3Table 7-4 Expected Side Effects of Cryotherapy 7-4Figure 7-1 LEEP 7-5Table 7-5 LEEP Success Rates 7-5Table 7-6 Comparison of Treatment Modalities 7-6Table 7-7 Recommended Referral Actions 7-8Figure 7-2 Sample Flow Diagram for Cervical Cancer Prevention 7-9Figure 7-3 Cryotherapy System 7-11Figure 7-4 Cryotip and Protective Sleeve 7-12Figure 7-5 Applying the Cryotip to the Cervix 7-16Figure 7-6 Freezing Process with Cryotherapy Unit 7-17Figure 7-7 Warning Signs 7-19Table 7-8 Treatment Status and Recommended Action 7-20Figure B-1 Organization of Data to Measure Test Qualities B-1Table C-1Infection Prevention Guidelines for Processing Instruments,Surgical Gloves and Other Items C-1viiiCervical Cancer Prevention Guidelines for Low-Resource Settings
Table C-2Figure C-1Preparing a Dilute Chlorine Solution from Liquid Bleach (SodiumHypochlorite Solution) for Decontamination and HLD C-3Formula for Making a Dilute Chlorine Solution from ConcentratedSolution C-3Table C-3 Preparing a Dilute Chlorine Solution from Dry Powder C-4Figure C-2 Formula for Making a Dilute Chlorine Solution from Dry Powder C-4Figure C-3 Steamer Used for HLD C-7Figure C-4 Temperature Rise in Gloves as a Function of Tray Position C-7Table C-4 Preparing and Using Chemical Disinfectants C-9Figure D-1 Cryotherapy System 2Figure D-2 Choosing an Appropriate Gas Cylinder 2Figure D-3 Additional Instructions for Tightening Regulator Fittings 3Figure D-4 British and US Regulator Fittings 4Figure D-5 Removing Protector Tube from Probe 5Figure D-6 Installing Cryotip 5Figure D-7 Applying Freeze-Clear-Freeze Technique 6Figure D-8 Removing Cryotip 7Figure D-9 Placing Protector Tube on Probe 7Figure D-10 Removing Plastic Sleeve and Inserting Rubber Stopper 7Figure D-11 Gas Cylinder Secured to Wall 9Table E-1 Following-Up on Commonly Encountered Problems E-1Figure F-1 Preparing Gloves for Autoclaving (Steam Sterilization) F-2Table F-1 Tips to Help Avoid Glove Problems F-3Figure F-2 Gloves in Steamer Pan F-4Figure G-1 Appearance of Breasts (Hands at Sides) G-4Cervical Cancer Prevention Guidelines for Low-Resource Settingsix
Page 1: Cervical Cancer PreventionGuideline
Page 5: TABLE OF CONTENTSPREFACE AND ACKNOW
Page 8: How to High-Level Disinfect Surgica
Page 13 and 14: PREFACE AND ACKNOWLEDGMENTSThis ref
Page 15 and 16: ONEINTRODUCTIONMAGNITUDE OF THE PRO
Page 17 and 18: IntroductionFigure 1-3. Incidence o
Page 19 and 20: Introductionprevalence areas, a sta
Page 21 and 22: Table 1-2. Reduction in Cumulative
Page 23 and 24: Introductiontheir performance was t
Page 25 and 26: Introductionlesions, or a false pos
Page 27 and 28: IntroductionCompared to other metho
Page 29 and 30: Introductionsignificantly to women
Page 31 and 32: IntroductionBelinson JL et al. 2001
Page 33 and 34: IntroductionMitchell MF et al. 1998
Page 35 and 36: IntroductionYlitalo N et al. 1999.
Page 37 and 38: TWOHUMAN PAPILLOMAVIRUS AND CERVICA
Page 39 and 40: Human Papillomavirus and Cervical C
Page 47 and 48: THREEPATHOPHYSIOLOGY OF CERVICAL CA
Page 49 and 50: With the onset of puberty, whichis
Page 51 and 52: Pathophysiology of Cervical Cancerp
Page 53 and 54: Pathophysiology of Cervical CancerP
Page 55 and 56: Pathophysiology of Cervical CancerI
Page 57 and 58: Pathophysiology of Cervical CancerR
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FOURTALKING WITH WOMEN ABOUTCERVICA
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Talking with Women About Cervical C
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FIVEPREVENTING INFECTIONS INHEALTHC
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Preventing Infections in Healthcare
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SIXCLIENT ASSESSMENT AND VIA TESTIN
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Client Assessment and VIA TestingFi
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Client Assessment and VIA TestingIN
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Client Assessment and VIA Testingst
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Client Assessment and VIA Testingsp
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Client Assessment and VIA Testingth
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SEVENTREATMENT AND FOLLOWUPBACKGROU
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Treatment and Followupregardless of
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Treatment and FollowupFigure 7-1. L
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Treatment and FollowupTable 7-6. Co
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Treatment and FollowupFigure 7-2 is
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Treatment and Followup• Regulator
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Treatment and FollowupCRYOTHERAPY P
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Treatment and FollowupStep 6 Point
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Treatment and FollowupNote: When CO
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Treatment and FollowupStep 5Advise
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Treatment and FollowupBerget A, B A
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APPENDIX ATESTS FOR CERVICAL CANCER
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Tests for Cervical Cancer Screening
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APPENDIX BSCREENING TEST QUALITIES
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Screening Test Qualities and Their
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APPENDIX CINFECTION PREVENTION PROC
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Infection Prevention Processesfor m
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Infection Prevention Processeswith
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Infection Prevention ProcessesFigur
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Table C-4. Preparing and Using Chem
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Infection Prevention ProcessesStora
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Infection Prevention Processes• h
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APPENDIX DTECHNICAL OVERVIEW OF THE
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Technical Overview of the Cryothera
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Figure D-5. Removing Protector Tube
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Technical Overview of the Cryothera
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Figure D-11. Gas Cylinder Secured t
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APPENDIX ETROUBLESHOOTING WITH THEC
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Table E-1. Following-Up on Commonly
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APPENDIX FPROCESSING SURGICAL GLOVE
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Processing Surgical GlovesTable F-1
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Processing Surgical GlovesSTEP 10:
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APPENDIX GPERFORMING BREAST AND PEL
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Performing Breast and Pelvic Examin
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Figure G-2. Breast Puckering or Dim
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Figure G-5. Checking for Nipple Dis
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Figure G-18. Speculum in Place with
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APPENDIX HPERCEIVED BARRIERS TO PRO
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AVAILABILITY OF BASIC SUPPLIES AND
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GLOSSARYAcetic AcidAcetowhite Chang
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PatulousSquamocolumnarJunction (SCJ
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ADDITIONAL READINGAlliance for Cerv
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Reference Manual - IARC Screening Group

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