Limitations of the Pap test

No screening test is 100% accurate, however the Pap test has been shown to be an effective tool for preventing cervical cancer.

Pap tests may not always detect cell changes. This may be because:

  • The sample does not contain abnormal cells which may be present on the cervix.
  • Some samples are hard to interpret. For example, blood or mucus may make it hard to see the cells.
  • Occasionally, abnormal cells are missed under the microscope.
  • Sometimes abnormal cells occur in cells high up in the cervix or deep in the glands of the cervix (adenocarcinoma). It is not always possible to get samples from these areas.

However, most cases of cervical cancer take up to 10 years to develop, so having a Pap test regularly means changes missed on one test are usually found on the next, well before they become a problem.

Lucy's story

I've always been very aware of the importance of regular Pap tests, as my Mum had early-stage cervical cancer in her 30s.

She encouraged me to start having regular Pap tests when I turned 18 and I followed her advice, albeit begrudgingly!

Read more...

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