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Title:

Liquid Based Cytology Workshop

Description:

Why Liquid Based Cytology ? 04/05/2004. 4. Aims & objectives of the CSP ... Limitations of conventional cytology. 04/05/2004. 10. How LBC is different ... – PowerPoint PPT presentation

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Provided by: cancerscr
Learn more at: http://www.cancerscreening.nhs.uk
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Title: Liquid Based Cytology Workshop


1
Liquid Based Cytology Workshop
2
Programme content
  • Session 1 Overview of the cervical screening
    programme why LBC has been introduced
  • Session 2 Revision of anatomy physiology of
    the cervix
  • Session 3 Taking the LBC sample
  • Session 4 Cytology of the sample
  • Session 5 Practical issues

3
SESSION 1
  • The NHS Cervical Screening Programme
  • Why Liquid Based Cytology ?

4
Aims objectives of the CSP
  • The primary aim of the CSP is to reduce both
    incidence and mortality from cervical cancer
  • It does this by regularly screening all women at
    risk so that conditions which might otherwise
    develop into invasive cancer can be identified
    and treated.

5
Facts and figures
  • Worldwide cervical cancer is the 2nd most common
    cancer affecting women
  • 80 cases occur in developing countries
  • Deaths from cervical cancer have fallen markedly
    in the UK from 8.3 per 100,000 women in 1971 to
    3.3 per 100,000 in 2000
  • Mortality rates generally increase with age less
    than 5 of cervical cancer deaths occur in women
    under 35
  • Cervical cancer is the 11th most common cause of
    cancer deaths in women in the UK

6
DOH 2002/3 statistics
  • 81.2 women aged 25-64 had been screened at least
    once in previous 5 years
  • 3.7 million women were screened
  • 92.4 were negative
  • 9.4 were inadequate
  • 3.9 showed borderline cell changes
  • 2.2 showed mild dyskaryosis
  • 0.8 showed moderate dyskaryosis
  • 0.7 showed severe dyskaryosis or worse

7
(No Transcript)
8
NICE recommendation is based on
  • Systematic review of literature relating to
    effectiveness of LBC undertaken as part of the
    HTA programme
  • Evidence from the 3 pilot sites at Bristol,
    Norwich and Newcastle

9
Why LBC has been introduced
  • Continuing improvement to the CSP
  • Limitations of conventional cytology

10
How LBC is different
  • Easier method for sample takers
  • Technology diminishes unwanted materials
  • Thin layer preparation
  • Smaller area of the slide to screen

11
What LBC can offer the CSP
  • Dramatic reduction in inadequate tests
  • Reduced anxiety for women
  • Reduced workload for primary care labs
  • Potential for increased automation

12
SESSION 2
  • Anatomy physiology of the cervix
  • The transformation zone

13
SESSION 3
  • Taking the LBC sample

14
Taking the LBC sample
  • Equipment -
  • Speculae reusable disposable
  • Cervex- Brushes R
  • Endocervical brushes
  • Fixative vials
  • Latex gloves
  • Waste disposal
  • Sterilisation facilities
  • Black ball point pen
  • Sample forms and bags
  • Leaflets

15
Taking the LBC sample
  • The woman-
  • Welcome
  • Check identity- name, DOB, address, NHS number
    etc
  • Explain new technique equipment
  • Offer information leaflets
  • Answer questions

16
Completing the consultation
  • Record the womans name DOB on the vial
  • Complete the form with any further clinical
    details
  • Discuss possible results and follow up if
    appropriate
  • Ensure that the woman understands about reporting
    any abnormal bleeding
  • Record in notes/ on computer all necessary
    details
  • Place vial form in a specimen bag for transport
    to the lab
  • Dispose of equipment and waste safely
  • Send the sample to the lab as soon as possible

17
Frequently asked questions
18
SESSION 4
  • Cytology of the sample

19
SESSION 5
  • Practical issues

20
Cascade Training
  • All sample takers taking LBC samples must receive
    some form of training
  • Short session back at practice to train all other
    sample takers
  • Training resources available
  • Send or fax form back to training organiser when
    training complete

21
Supplies
  • Supplies of consumables where to obtain them?
  • Storage of vials
  • Order form and recommended numbers for ordering
  • Returning unused equipment how?
  • Health and safety product information

22
Useful contacts
  • Local training organiser
  • Local laboratory
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