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READ- Cervical cancer is a condition women should be screened for at least every three years from the ages of 21 to 65. PAP smears HPV test are the first line on diagnostic screening. If those come back abnormal a colposcopy and biopsy can be done to examine the cervical cells. Imagining diagnostic tools are ultrasound, MRI and CT. These help to detect a tumor, size and location.
The sensitivity of PAP smears is 80-90% in the United States (Zhang). For imaging the ultrasound and MRI have a sensitivity of 75%, specificity is 90% for ultrasound and 55.6% for MRI. The reliability of the ultrasound is 87.5% while the MRI is only 59% (Yang).
As an APRN I would utilize HPV tests for my younger patients and PAP smears for all females patients ages 21 to 65. For diagnostic imagining I would utilize an ultrasound. It is more reliable for diagnosis, non-invasive and more economical for the patient.
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