Today our topic of discussion is Cervicography Cervigram.
Cervicography Cervigram
CERVICOGRAPHY (CERVIGRAM)
Cervicography is a photographic method to record an image of the cervix. This test may be done in conjunction with a Pap smear. Colposcopy and/or routine gynecologic examination. The Pap smear detects cellular changes, whereas the cervigram is a more sensitive means to detect cervical cancer. It can identify some cancerous lesions that were missed by the Pap smear.
Normal findings: Normal cervical tissue, no abnormal cells found.
Purpose: To detect cervical cancer
Abnormal Findings
- Cancer of the cervix
- Invasive cervical.
Client Preparation
- Obtain a signed consent form
- Obtain a history of any gynecological health problems (e.g. discharge, abnormal bleeding)
- Explain the procedure to the client.
- Explain that she may experience some discomfort due to the body position and the procedure (Fig. 33.1)
- Be supportive of the client.
- Allow the client time to express her fear and concerns.
Procedure
- Food and fluids are not restricted
- The client is placed in the lithotomy position
- Acetic acid (5%) is swabbed on the cervical area
- Pathgraphs are taken of the cervix
- Aqueous iodine is then swabbed on the cervix; photos follow
- An endocervical smear is taken; tissue obtained is applied to a side(s).
Factors Affecting Diagnostic Results
Cervical mucus that was not removed from the cervix prior to the application of acetic acid and the photography.
Client Teaching
- Inform the client that she may experience a brown vaginal discharge following the procedure for few days. The brown discharge is most likely due to iodine swabbed on the cervix
- Instruct the client that if great discomfort or heavy discharge occurs, the healthcare providers should be informed.
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