Synonyms in a broader sense
Synonyms in a broader sense: cancer at the entrance to the uterus, uterine cancer
Classification according to Papanicolaou
PAP I: Normal cell picture PAP II: Inflammatory and metaplastic changes PAP III: Severe inflammatory or degenerative changes, an assessment of whether the changes are malignant is not possible with certainty PAP III D: PAP IV a: Cells of severe dysplasia or carcinoma in situ (precancerous stage) PAP IV b: Cells of severe dysplasia or carcinoma in situ (early stage of cancer), cells of malignant cancer cannot be excluded PAP V: Cells of presumed malignant cancer (malignant tumor), tumor is clearly malignant.
- The findings are normal, there are no abnormalities, control after one year as part of the early cancer detection examination.
- The cell changes are not suspicious, mostly caused by bacteria or other germs, if necessary examination after 3 months and a possible treatment of the inflammation
- The findings are unclear; if necessary, antibiotic or hormonal treatment short-term control after approx. 2 weeks; if Pap III persists, a histological clarification is important
- The findings are unclear; mostly this change is related to the common HPV infection. Control after 3 months is sufficient, histological clarification is only necessary in case of repeated occurrence.
- Fine tissue (histological) clarification by means of curettage (scraping) and colonoscopy hysteroscopy
- Requires fine tissue (histological) clarification by conisation (see below) or biopsy (obtaining a tissue sample), therapy depending on the patient’s findings and family planning
- Requires histological clarification by conisation (see below) or biopsy (obtaining a tissue sample). Therapy: removal of the uterus (hysterectomy)
