SlideShare a Scribd company logo
1 of 40
Taking a PAP SMEAR
Cervical Cancer : Pap smear ,[object Object],[object Object],[object Object]
Indian scenario ,[object Object],[object Object],[object Object],[object Object],[object Object]
Histological Types 30 ,[object Object],[object Object],[object Object]
Transformation  zone ,[object Object],[object Object],[object Object],[object Object]
Transformation  zone ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transformation  zone
Transformation Zone -TZ ,[object Object],[object Object],[object Object],[object Object]
Transformation Zone ,[object Object]
Why cervical screening is a feasible and useful strategy? ,[object Object],[object Object],[object Object],[object Object]
PAP  Smear ,[object Object]
Significance of Pap smear ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cervical Cancer : Pap smear ,[object Object]
Of the 30% who actually develop cervical cancer: ,[object Object],[object Object],[object Object],[object Object]
How to take a Pap Smear ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],How to take a Pap Smear ?
How to take a Pap Smear ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
How to take a Pap Smear ? ,[object Object],[object Object],[object Object],[object Object]
Fixation of smear ,[object Object],[object Object],[object Object]
How to take a Pap Smear ? ,[object Object],[object Object],[object Object],[object Object]
Systems for cervical cytology reporting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systems for cervical cytology reporting  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bethesda system ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bethesda system ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bethesda system - results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bethesda system ,[object Object],[object Object],[object Object],[object Object],[object Object]
Normal cervix-cytology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cervical cytology - Inflammation ,[object Object],[object Object]
Low grade lesions
High grade lesions High grade squamous  lesion High grade glandular  lesion
Abnormal Pap smear- HPV ,[object Object],[object Object]
Invasive Invasive Invasive Class 5 HSIL CIN3 Ca In Situ Class 4 LSIL(HPV) HSIL HSIL CIN1 CIN2 CIN3 Mild dysplasia Moderate dysplasia Severe dysplasia Class 3 Reactive, reparatative changes, ASCUS, LSIL(HPV) Inflammatory, squamous, koilocytic atypia Class 2 WNL negative negative Class-1 Bethesda CIN Descriptive PAP
[object Object],[object Object],PAP smear
PAP Smears - Limitations  ,[object Object],[object Object],[object Object],[object Object]
Pap smear as screening method  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pap smear - guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pap smear - guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liquid Based Cytology ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Liquid Based Cytology
Cancer Cervix  IS PREVENTABLE , IF Detected EARLY!!!!!!!!! Thank You

More Related Content

What's hot

Colposcopy case studies2
Colposcopy case studies2Colposcopy case studies2
Colposcopy case studies2Tariq Mohammed
 
Pap smear test
Pap smear testPap smear test
Pap smear testiangould64
 
Bethesda system for cervix cytology
Bethesda system for cervix cytologyBethesda system for cervix cytology
Bethesda system for cervix cytologyRavi Kumar Meena
 
Cervical cancer screening modalities
Cervical cancer screening modalitiesCervical cancer screening modalities
Cervical cancer screening modalitieschaimingcheng
 
Germ cell tumors of ovary
Germ cell tumors of ovaryGerm cell tumors of ovary
Germ cell tumors of ovaryashish223
 
Abnormal Pap Test
Abnormal Pap TestAbnormal Pap Test
Abnormal Pap Testdrsubir
 
Mucinous cystadenoma case presentation
Mucinous cystadenoma case presentationMucinous cystadenoma case presentation
Mucinous cystadenoma case presentationShadmanAbdalJoarder
 
Colposcopy nstrumentation and principles on how to do 22
Colposcopy nstrumentation and principles on how to do 22Colposcopy nstrumentation and principles on how to do 22
Colposcopy nstrumentation and principles on how to do 22Tariq Mohammed
 
Efficacy of liquid based cytology versus conventional smears
Efficacy of liquid based cytology versus conventional smearsEfficacy of liquid based cytology versus conventional smears
Efficacy of liquid based cytology versus conventional smearsAnamika Dev
 
Cervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaCervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaAboubakr Elnashar
 
Classification of ovarian tumors
Classification of ovarian tumorsClassification of ovarian tumors
Classification of ovarian tumorsDr Anusha Rao P
 
Ovarian classification and Management
Ovarian classification and ManagementOvarian classification and Management
Ovarian classification and ManagementSourav Chowdhury
 
Endometrial carcinoma
Endometrial carcinomaEndometrial carcinoma
Endometrial carcinomaSalini Mandal
 
Pre cancerous lesions of cervix.pptx
Pre cancerous lesions of cervix.pptxPre cancerous lesions of cervix.pptx
Pre cancerous lesions of cervix.pptxGitanjali Kumari
 
Pre-invasive and Invasive Lesions of the Cervix
Pre-invasive and Invasive Lesions of the CervixPre-invasive and Invasive Lesions of the Cervix
Pre-invasive and Invasive Lesions of the CervixDJ CrissCross
 

What's hot (20)

Colposcopy case studies2
Colposcopy case studies2Colposcopy case studies2
Colposcopy case studies2
 
Pap smear test
Pap smear testPap smear test
Pap smear test
 
Bethesda system for cervix cytology
Bethesda system for cervix cytologyBethesda system for cervix cytology
Bethesda system for cervix cytology
 
Liquid based cytology
Liquid based cytologyLiquid based cytology
Liquid based cytology
 
Cervical cancer screening modalities
Cervical cancer screening modalitiesCervical cancer screening modalities
Cervical cancer screening modalities
 
Germ cell tumors of ovary
Germ cell tumors of ovaryGerm cell tumors of ovary
Germ cell tumors of ovary
 
Abnormal Pap Test
Abnormal Pap TestAbnormal Pap Test
Abnormal Pap Test
 
Mucinous cystadenoma case presentation
Mucinous cystadenoma case presentationMucinous cystadenoma case presentation
Mucinous cystadenoma case presentation
 
Bethesda system for reporting
Bethesda system for reportingBethesda system for reporting
Bethesda system for reporting
 
Colposcopy nstrumentation and principles on how to do 22
Colposcopy nstrumentation and principles on how to do 22Colposcopy nstrumentation and principles on how to do 22
Colposcopy nstrumentation and principles on how to do 22
 
Cervix cyto
Cervix cytoCervix cyto
Cervix cyto
 
Efficacy of liquid based cytology versus conventional smears
Efficacy of liquid based cytology versus conventional smearsEfficacy of liquid based cytology versus conventional smears
Efficacy of liquid based cytology versus conventional smears
 
Cervical intra epithelial neoplasia
Cervical intra epithelial neoplasiaCervical intra epithelial neoplasia
Cervical intra epithelial neoplasia
 
Classification of ovarian tumors
Classification of ovarian tumorsClassification of ovarian tumors
Classification of ovarian tumors
 
Ovarian classification and Management
Ovarian classification and ManagementOvarian classification and Management
Ovarian classification and Management
 
Endometrial carcinoma
Endometrial carcinomaEndometrial carcinoma
Endometrial carcinoma
 
Pre cancerous lesions of cervix.pptx
Pre cancerous lesions of cervix.pptxPre cancerous lesions of cervix.pptx
Pre cancerous lesions of cervix.pptx
 
Bethesda 180521085301
Bethesda 180521085301Bethesda 180521085301
Bethesda 180521085301
 
Interpretation of endometrial biopsy
Interpretation of endometrial biopsyInterpretation of endometrial biopsy
Interpretation of endometrial biopsy
 
Pre-invasive and Invasive Lesions of the Cervix
Pre-invasive and Invasive Lesions of the CervixPre-invasive and Invasive Lesions of the Cervix
Pre-invasive and Invasive Lesions of the Cervix
 

Similar to Taking A Pap Smear

Cancer cervix screening
Cancer cervix screeningCancer cervix screening
Cancer cervix screeningAmir Mahmoud
 
Cervicalcancer 180428125921-converted - copy final
Cervicalcancer 180428125921-converted - copy finalCervicalcancer 180428125921-converted - copy final
Cervicalcancer 180428125921-converted - copy finalmadurai
 
Nulife module 6 screening for malignancies edited
Nulife module 6 screening for malignancies editedNulife module 6 screening for malignancies edited
Nulife module 6 screening for malignancies editedManinder Ahuja
 
Cervical canser screening.ppt
Cervical canser screening.pptCervical canser screening.ppt
Cervical canser screening.pptChrispinMwando2
 
screening_and_prevention protocols for_cervix.ppt
screening_and_prevention protocols for_cervix.pptscreening_and_prevention protocols for_cervix.ppt
screening_and_prevention protocols for_cervix.pptPriyankaSinha406376
 
preinvasive lesion of cervix and management ,quick revise tool
preinvasive lesion of cervix and management ,quick revise toolpreinvasive lesion of cervix and management ,quick revise tool
preinvasive lesion of cervix and management ,quick revise toolmahadevbpatil
 
Shoulder to Shoulder: Cervical Cancer Screening
Shoulder to Shoulder: Cervical Cancer ScreeningShoulder to Shoulder: Cervical Cancer Screening
Shoulder to Shoulder: Cervical Cancer Screeningshouldertoshoulder
 
Cervical Screening State of the Art 2016
Cervical Screening State of the Art 2016Cervical Screening State of the Art 2016
Cervical Screening State of the Art 2016Dr Dirk Grothuesmann
 
Cervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptxCervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptxnaveenithkrishnan
 
Cervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptxCervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptxnaveenithkrishnan
 
Cancer of cervix and its management
Cancer of cervix and its managementCancer of cervix and its management
Cancer of cervix and its managementKanchan Mehra
 
Premalignant and malignant conditions of the cervix
Premalignant and malignant conditions  of the cervix  Premalignant and malignant conditions  of the cervix
Premalignant and malignant conditions of the cervix tariggally
 
1-introductionofcytopathology-170421144339.pdf
1-introductionofcytopathology-170421144339.pdf1-introductionofcytopathology-170421144339.pdf
1-introductionofcytopathology-170421144339.pdfZainabKhadhar
 
Cervical cancer screening guidelines 2013 on 7th sept
Cervical cancer screening guidelines 2013 on 7th septCervical cancer screening guidelines 2013 on 7th sept
Cervical cancer screening guidelines 2013 on 7th septLifecare Centre
 

Similar to Taking A Pap Smear (20)

Cancer cervix screening
Cancer cervix screeningCancer cervix screening
Cancer cervix screening
 
Pap smear and hpv vaccine
Pap smear and hpv vaccinePap smear and hpv vaccine
Pap smear and hpv vaccine
 
Cervicalcancer 180428125921-converted - copy final
Cervicalcancer 180428125921-converted - copy finalCervicalcancer 180428125921-converted - copy final
Cervicalcancer 180428125921-converted - copy final
 
Madhuri ppt path
Madhuri ppt pathMadhuri ppt path
Madhuri ppt path
 
Nulife module 6 screening for malignancies edited
Nulife module 6 screening for malignancies editedNulife module 6 screening for malignancies edited
Nulife module 6 screening for malignancies edited
 
Gynecology 5th year, 10th lecture (Dr. Hanaa)
Gynecology 5th year, 10th lecture (Dr. Hanaa)Gynecology 5th year, 10th lecture (Dr. Hanaa)
Gynecology 5th year, 10th lecture (Dr. Hanaa)
 
Cervical canser screening.ppt
Cervical canser screening.pptCervical canser screening.ppt
Cervical canser screening.ppt
 
Cervical cancer
Cervical cancer Cervical cancer
Cervical cancer
 
screening_and_prevention protocols for_cervix.ppt
screening_and_prevention protocols for_cervix.pptscreening_and_prevention protocols for_cervix.ppt
screening_and_prevention protocols for_cervix.ppt
 
preinvasive lesion of cervix and management ,quick revise tool
preinvasive lesion of cervix and management ,quick revise toolpreinvasive lesion of cervix and management ,quick revise tool
preinvasive lesion of cervix and management ,quick revise tool
 
Cin&cancer cervix undergraduate
Cin&cancer cervix undergraduateCin&cancer cervix undergraduate
Cin&cancer cervix undergraduate
 
Shoulder to Shoulder: Cervical Cancer Screening
Shoulder to Shoulder: Cervical Cancer ScreeningShoulder to Shoulder: Cervical Cancer Screening
Shoulder to Shoulder: Cervical Cancer Screening
 
introduction of cytopathology
introduction of cytopathologyintroduction of cytopathology
introduction of cytopathology
 
Cervical Screening State of the Art 2016
Cervical Screening State of the Art 2016Cervical Screening State of the Art 2016
Cervical Screening State of the Art 2016
 
Cervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptxCervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptx
 
Cervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptxCervical cancer screening 14.02.24.....pptx
Cervical cancer screening 14.02.24.....pptx
 
Cancer of cervix and its management
Cancer of cervix and its managementCancer of cervix and its management
Cancer of cervix and its management
 
Premalignant and malignant conditions of the cervix
Premalignant and malignant conditions  of the cervix  Premalignant and malignant conditions  of the cervix
Premalignant and malignant conditions of the cervix
 
1-introductionofcytopathology-170421144339.pdf
1-introductionofcytopathology-170421144339.pdf1-introductionofcytopathology-170421144339.pdf
1-introductionofcytopathology-170421144339.pdf
 
Cervical cancer screening guidelines 2013 on 7th sept
Cervical cancer screening guidelines 2013 on 7th septCervical cancer screening guidelines 2013 on 7th sept
Cervical cancer screening guidelines 2013 on 7th sept
 

More from drsubir

Cervical Cancer Disease Burden
Cervical Cancer Disease BurdenCervical Cancer Disease Burden
Cervical Cancer Disease Burdendrsubir
 
Colposcopy
ColposcopyColposcopy
Colposcopydrsubir
 
Hpv Sample Collection Procedure
Hpv Sample Collection ProcedureHpv Sample Collection Procedure
Hpv Sample Collection Proceduredrsubir
 
Human Papilloma Virus
Human Papilloma VirusHuman Papilloma Virus
Human Papilloma Virusdrsubir
 
Truscreen
TruscreenTruscreen
Truscreendrsubir
 

More from drsubir (6)

Cervical Cancer Disease Burden
Cervical Cancer Disease BurdenCervical Cancer Disease Burden
Cervical Cancer Disease Burden
 
Colposcopy
ColposcopyColposcopy
Colposcopy
 
Hpv Sample Collection Procedure
Hpv Sample Collection ProcedureHpv Sample Collection Procedure
Hpv Sample Collection Procedure
 
Human Papilloma Virus
Human Papilloma VirusHuman Papilloma Virus
Human Papilloma Virus
 
Truscreen
TruscreenTruscreen
Truscreen
 
Via
ViaVia
Via
 

Recently uploaded

Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 

Recently uploaded (20)

Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 

Taking A Pap Smear

  • 1. Taking a PAP SMEAR
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 30. High grade lesions High grade squamous lesion High grade glandular lesion
  • 31.
  • 32. Invasive Invasive Invasive Class 5 HSIL CIN3 Ca In Situ Class 4 LSIL(HPV) HSIL HSIL CIN1 CIN2 CIN3 Mild dysplasia Moderate dysplasia Severe dysplasia Class 3 Reactive, reparatative changes, ASCUS, LSIL(HPV) Inflammatory, squamous, koilocytic atypia Class 2 WNL negative negative Class-1 Bethesda CIN Descriptive PAP
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40. Cancer Cervix IS PREVENTABLE , IF Detected EARLY!!!!!!!!! Thank You