showed marked dysplasia of cervical cells but no sign of infection.
1. Discuss the purposes and uses of diagnostic testing and how it
applies in this scenario. (See Diagnostic Testing.)
Diagnostic testing’s purpose is to identify a disease as both a preventative measure,
and to confirm a disease when signs and symptoms are displayed. In this scenario, a
pap smear was the diagnostic test and because it marked dysplasia, the practitioner
and patient can be prepared for the next steps. The patient can receive more than
the recommended check ups to keep an eye on the cervical cells, and if malignant
cells are identified, they can take therapeutic actions sooner than if Ms. A did not
attend her routine check up.
2. Discuss how the following terms might apply to this scenario:
prognosis, latent stage, remission, exacerbations, predisposing
factors. (See The Language of Pathophysiology—terms frequently
used.)
Ms. A may possibly have factors that make her high risk for developing cervical
cancer. Predisposing factors for this disease could be that she has previously
contracted HPV, is a smoker, or she is overweight.
In the case that the cells are still in a latent period, they would not yet show any
typically identifiable cancerous cell traits. For example, one cell can mutate to a
cancerous cell, but it has not yet replicated and has not yet caused any signs or
symptoms. Unless the genes were studied, the cancerous cell would be difficult to
identify.
In the future, if Ms. A’s dysplasia increases and she becomes diagnosed with cervical
cancer, then her prognosis, or chance of recover, will be estimated depending on the
severity of the cancerous cells, and other factors such as her overall health and
average outcomes. If the cancerous cells diminish after therapy and treatments as
well as the clinical evidence and effects subside, then she is termed to be in
remission. In the case that the clinical evidence and effects get worse, then they are
called exacerbated.
3. Compare and contrast the various types of common cellular
adaptations, focusing on dysplasia and the testing for this condition.
(See Terms Used for Common Cellular Adaptations.)
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