Abnormal Pap Smears: What Every Woman Needs to Know


This comprehensive guide for the more than 4 million women each year who experience abnormal Pap smears discusses the relationship of cervical cancer to infection by the sexually transmitted human papillomavirus (HPV) and underscores how crucial Pap smears are for cervical cancer prevention. The book covers the meaning of different Pap-smear diagnoses, ranging from atypical to full-blown cervical cancer. Simple and clear line drawings illustrate pertinent female anatomy and ...

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This comprehensive guide for the more than 4 million women each year who experience abnormal Pap smears discusses the relationship of cervical cancer to infection by the sexually transmitted human papillomavirus (HPV) and underscores how crucial Pap smears are for cervical cancer prevention. The book covers the meaning of different Pap-smear diagnoses, ranging from atypical to full-blown cervical cancer. Simple and clear line drawings illustrate pertinent female anatomy and normal-to-abnormal cell changes.

Since suboptimal tests can produce misleading results, tips are provided to help women improve their chances of receiving the most accurate Pap smear. This updated edition details the most recent developments in HPV testing, as well as the new liquid-based Pap test. Lastly, the future of Pap smears and cervical-cancer prevention is explored, with special emphasis on the recently approved HPV vaccine.
Vital to the book are interspersed personal interviews, which provide firsthand information on women's feelings about their abnormal Pap smears as well as their experiences with cervical disease. These personal vignettes offer insights into the social and emotional effects that often result from an abnormal Pap smear.

The first edition was chosen by Nurse Practitioner and by Library Journal as one of the best books of the year. Now fully updated, this clearly written, very approachable guide fills a vital consumer-health need.

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Editorial Reviews

Library Journal
Millions of women experience abnormal Pap smears each year, but how many of these patients know what the test screens for, what they can do to ensure optimal results, how laboratory errors can affect their results, what various diagnoses mean, and what to expect in follow-up and treatment procedures? Rushing, medical director of cytology and gynecologic pathology at Pathology Services, Inc., and Joste, a medical doctor and associate professor of pathology at the University of New Mexico School of Medicine, cover these topics and more. They also consider the link between cervical cancer and human papillomaviruses, new Pap smear technologies, suggestions on how to deal with a cervical cancer diagnosis, cervical cancer prevention, personal stories from women who have experienced abnormal Pap smears, and a Pap smear FAQ. Selected chapter references, a glossary, and a very brief appendix featuring general references, web sites, e-mail addresses, and phone numbers complete the book. The authors do an excellent job of explaining concepts, procedures, and test results, but the frequent, albeit necessary, use of medical terminology and acronyms may make some readers' heads spin. Still, this book fills a void in women's consumer health literature. Recommended for public libraries and other libraries with consumer health collections. (Index not seen.) Samantha J. Gust, Niagara Univ. Lib., NY Copyright 2001 Cahners Business Information.
Doody's Review Service
Reviewer: Marilee M. Means, B.S., M.A., Ph.D. , SCT (ASCP)(University of Kansas Medical Center)
Description: This book attempts to explain the causes of cervical neoplasia, the treatment procedures used, and the terminology that a woman might encounter when being evaluated for cervical neoplasia after an abnormal Pap smear result.
Purpose: The authors express a desire to help women understand the significance of an abnormal Pap smear result as well as the role HPV has in the development of cervical cancer and its precursors. The book fulfills these objectives quite well.
Audience: The authors, both women cytopathologists with years of experience, have written an exceptionally clear and easy to use book for the lay audience. Patients often become quite upset when learning of an abnormal Pap result. This book is not only medically accurate and up-to-date, but also provides a much needed resource for patients.
Features: The authors begin with an enviably clear explanation of female anatomy, normal and abnormal histology of the female genital tract, and cytology and its role in evaluating Pap smears. Simple, easy to understand diagrams show the various stages of cervical disease. The authors discuss the relationship of cervical neoplasia to HPV, and how women can deal with the treatment needed to combat cervical disease. They share personal stories of women affected by the disease and offer advice in getting the best possible results from the test. There is a list of frequently asked questions as well as two appendixes listing both questions for one's doctor and additional resources. A glossary of medical terms is a most helpful feature.
Assessment: This well-written, easily understandable book for a lay audience is medically accurate and, most of all, a source of information and comfort for any woman going through the pain, anxiety, and uncertainty of diagnosis and treatment for cervical disease. At a time when the death rate from this preventable cancer is much higher than what is optimally possible, this book fills a gap in the public's understanding that can help women combat this quite personal and distressing disease.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781591025719
  • Publisher: Prometheus Books
  • Publication date: 6/28/2008
  • Edition description: Revised
  • Pages: 275
  • Sales rank: 1,153,833
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.90 (d)

Meet the Author

Lynda Rushing, MD (Boston, MA), is a pathologist affiliated with Harvard Vanguard Medical Associates and a clinical assistant professor at Tufts University Medical School.

Nancy Joste, MD (Albuquerque, NM), is Professor of Pathology at the University of New Mexico School of Medicine, Director of Anatomic Pathology and Cytopathology at the University of New Mexico Health Sciences Center, and Codirector of Anatomic Pathology at TriCore Reference Laboratories.

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Table of Contents

Foreword   Christopher P. Crum, MD     9
Foreword   Alan G. Waxman, MD     11
Preface     13
Cervical Cancer and Human Papillomaviruses: Sexually Transmitted Diseases     15
Pap Smears 101     31
How to Read Your Pap Smear Report     61
Follow-up and Treatment of Abnormal Pap Smears: What You Can Expect     85
The Problem Pap Smear     121
Cervical Cancer: Dealing with the Diagnosis     133
Women's Stories     159
Obtaining an Optimal Pap Smear Result     183
The New Technologies: Better Cervical Cancer Prevention     203
Lifestyle and Cervical Cancer Prevention     231
New Directions in Cervical Cancer Prevention: The Promise of the HPV Vaccine and Other Advances     245
Your Turn: Frequently Asked Questions About Pap Smears and HPV     267
Understanding Your Abnormal Pap Smear     299
Questions for Your Doctor     305
Additional Information     309
Selected References     313
Glossary     329
Index     339
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Sort by: Showing all of 2 Customer Reviews
  • Anonymous

    Posted May 12, 2004

    Every woman should read

    Excellent book. I am a survivor of Cervical Cancer. I told all my women friends to buy this book and to spread the word. Women need to be more educated on how to read their papsmears, not just be told their pap is normal or abnormal.

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  • Anonymous

    Posted June 23, 2009

    No text was provided for this review.

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