TCT is a cervical cytology examination, a basic method for screening cervical intraepithelial neoplasia (CIN) and cervical cancer, and it is also a necessary step for diagnosis. At present, liquid-based thin-layer film preparation is mostly used, combined with cervical cell disease The TBS reporting system for scientific diagnosis. What does
mean about the TCT report?
No intraepithelial lesion cells and malignant cells (NILM)
pathogens: includes morphological manifestations of infections such as Trichomonas vaginalis, Candida, bacteria, and herpes simplex virus.
Non-neoplastic findings: reactive cell changes: including inflammation-related, radiotherapy-related, and intrauterine device-related reactive cell changes; glandular cells after hysterectomy; atrophy (with or without inflammation): common in Children, menopause and postpartum.
Abnormal changes in epithelial cells
squamous epithelial cell abnormalities:
atypical squamous cells (ASC): including atypical squamous epithelium (ASC-US) with no clear diagnostic significance and SARS that cannot exclude high-grade squamous intraepithelial lesions Squamous cell type (ASC-H);
low-grade squamous intraepithelial lesion (LSIL): equivalent to CIN I in the pathology report;
high squamous intraepithelial lesion (HISL): equivalent to CIN II in the pathology report , CIN III, carcinoma in situ;
squamous cell carcinoma.
Glandular epithelial cell changes:
● atypical glandular cells (AGC);
● atypical glandular cells, prone to neoplasia;
● cervical canal in situ adenocarcinoma (AIS);
● adenocarcinoma.
Other
●TCT results are ASC-US HPV testing is the first choice. If it is negative, cytology should be repeated 6-12 months or combined screening every 3 years; if it is positive, colposcopy is required.
● TCT results are ASC-H, LSIL, HSIL, colposcopy and biopsy of suspicious lesions are required.
●TCT result is AGC HPV testing, colposcopy, cervical endometrial curettage and endometrial examination should be performed.
During pregnancy, the increased estrogen causes the columnar epithelium to move to the cervix and vagina, and the basal cells in the transformation zone appear atypical proliferation. At the same time, the immune function may be low during pregnancy and may be prone to HPV infection. Most pregnant patients are LSIL. 14% are HSIL.
There is currently no evidence that cervical intraepithelial lesions during pregnancy are more likely to develop into cervical invasive carcinoma than during non-pregnancy. Most of the lesions resolved spontaneously or did not progress after delivery. In general, cervical intraepithelial lesions during pregnancy are only observed. It is recommended to recheck TCT and colposcopy evaluation 6 weeks after delivery.
Therefore, if there is a problem with the TCT during pregnancy, pregnant mothers do not have to worry too much. If you are still preparing for pregnancy, it is recommended to perform a TCT examination, and you can deal with the problem in time.
A TCT examination during pregnancy may cause a small amount of bleeding. This is because the brush stimulates the cervix when taking cervical secretions, causing a small amount of bleeding. may also have mild cervical inflammation, contact bleeding caused by taking secretions, pregnant mothers don’t have to worry too much.
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