27.04.2013 Views

Screening pentru prevenirea_cancerului de col uterin citologie

Screening pentru prevenirea_cancerului de col uterin citologie

Screening pentru prevenirea_cancerului de col uterin citologie

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

SISTEMUL BETHESDA 2001<br />

RECOMANDARI<br />

ASC-H – <strong>col</strong>poscopie imediata.<br />

LSIL , HSIL :<br />

Colposcopie satisfacatoare ( se evid.JSC ) –<br />

- o noua prelevare dupa 6 luni<br />

- daca exista lez.<strong>col</strong>poscopica: se indica curetaj endocervic. ( ECC ) + biopsie<br />

- daca nu exista lez.<strong>col</strong>poscopica: ECC +/- testare HPV :<br />

a. ECC (-) si HPV(-) – noua prelevare PAP la 1 an<br />

b. ECC(+) si/sau HPV(+) – se repeta <strong>col</strong>poscopia<br />

( pt.LSIL) sau conizatie (pt. HSIL).

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!