Emergency ()

Can PAP SMEAR detect Ovarian Cancer?

Can PAP SMEAR detect Ovarian Cancer?
in Gynecology & Obstetrics

Apr 19, 2022

No. A Pap smear test does not detect ovarian cancer. A Pap test is the best screening test for carcinoma cervix- populary known as cervical cancer. Usually done on the basis of mass screening test in Gynecology OPD, cervical wash is collected on spatula and slides prepared, cervical cytology is done. In some rare situations ovarian cancer cells can be detected during a Pap test.   Ovarian cancer cells pass from ovaries through fallopian tubes and uterus to the area around your cervix- this is how the ovarian cancer cells may be collected during a Pap test. Pap test have a high false negative rate as blood and debris from tumor can obscure the malignant cell on slide, punch biopsy is the definite for diagnose the cancer.

The best Diagnostic test for Ovarian Cancer:

There is no such screening test for ovarian cancer, due to this  reason unlike cervical cancer or endometrial cancer, most ovarian cancers are detected in late stage. The best tumor marker for this disease is CA125 a high molecular weight glycoprotein. This kind of test is recommended by the doctor when the signs and symptoms associated with ovarian cancer are confirmed in the patient.

PAP SMEAR for Ovarian Cancer

Minor elevation in CA125 level are not specific for ovarian cancer and can seen is endometriosis, benign tumor, genital tuberculosis, fibroid and pregnancy and post partum women. Moderate elevation in CA125 can be seen in other adenocarcinoma such as breast cancer and endometrial cancer. However high CA125 level >2000 with clinical history should be consider to represent epithelial ovarian cancer until prove otherwise.

Pap Smear Test Recommendations:

Pap smear is indicated in patient complaining of abnormal white discharge from vagina, post coital bleeding, post menopausal bleeding, inter menstrual bleeding. The American college of Obstetrician and gynecologist recommendation are as follows:

Women should begin screening 3 years after the onset of sexual activity or at 21 year whichever is earlier. Screening should end at 70 or earlier if a woman had complete hysterectomy. In addition women should have negative test result yearly on liquid based pap test every  years until the age of 30

Recent Blogs
Understanding the Potential Impact of Abortion Pill Side Effects on Future Pregnancies
In recent years, medical abortion, often referred to as the abortion pill, has become a common method for terminating early pregnancies. While it offers a non-invasive option for women seeking to end a pregnancy, concerns about its potential impact on future pregnancies have arisen.
Continue Reading
Exploring the Side Effects and Benefits of Coconut Water During Pregnancy
Pregnancy is a beautiful journey marked by numerous changes in a woman's body and lifestyle. Proper nutrition is essential during this time to support the mother's health and the growing baby's development. Among the various natural beverages touted for their health benefits, coconut water stands out for its refreshing taste and potential nutritional advantages.
Continue Reading
Understanding PCOD vs PCOS: Key Differences and Similarities Explained
Polycystic ovary syndrome (PCOS) and polycystic ovary disorder (PCOD) are two commonly misunderstood conditions affecting women's reproductive health. Despite their similar names, they have distinct characteristics and implications.
Continue Reading
Nurturing Two: A Comprehensive Guide to Month-by-Month Pregnancy Diet
Pregnancy is a miraculous journey marked by profound changes in a woman's body and lifestyle. One crucial aspect of this journey is maintaining a healthy diet that supports both the mother and the growing baby.
Continue Reading
Managing Low Blood Pressure During Pregnancy: A Comprehensive Guide
Low blood pressure, also known as hypotension, during pregnancy can be a concern for expectant mothers. While high blood pressure often gets more attention, low blood pressure can also lead to complications if not managed properly. In this guide, we'll explore the causes, symptoms, potential risks, and effective management strategies for dealing with low blood pressure during pregnancy.
Continue Reading
View all Blogs