Low-Grade Cervical Dysplasia.
See Van, a 35-year-old married Hmong-American woman recently underwent an annual Papanicolaou test (Pap smear) at her Certified Nurse Midwife’s practice, and the results were abnormal. Her provider diagnosed her with low-grade cervical dysplasia. What alterations at the cellular level would you expect to see with this diagnosis? Provide and discuss with your colleagues S. V.’s prognosis. Support your discussion with citations from the textbook, external credible literature and/or reliable electronic sources. Low-Grade Cervical Dysplasia.
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Low-Grade Cervical Dysplasia
Low-grade cervical dysplasia can be detected by a yearly Pap test. According to the case scenario, See Van was reported to have a disorder that was detected during her yearly screening. Low-grade cervical dysplasia is often named CIN 1 or grade 1 cervical intraepithelial lesion. There are some distinguishing features of CIN 1 when viewed on a cellular basis. Firstly, the nuclei might seem to be more than three times bigger than usual (Bora et al., 2017). Multinucleation and binucleation and may also be observed. When viewing a cell that is associated with CIN 1, nucleoli would not be noticeable. Additionally, the cytoplasm can change its color to orange. Low-Grade Cervical Dysplasia.
The general potential for the diagnosis of CIN 1 is not troubling, because it is not a cancer diagnosis. Usually, follow-up is recommended to guarantee that the process will not advance (Xu et al., 2016). Nonetheless, the situation of See Van is somewhat distinct because she is an Asian American, thus the rules are a little bit different. It is usually uncommon for CIN 1 to result in cervical cancer. However, research indicates that Hmong females are at a higher risk of developing cervical cancer (Kuntasorn et al., 2019). As such, the possibility that See Van’s condition will develop to cancer could be higher. Sometimes, development can be associated with cultural processes, like not undertaking regular checkups. Fortunately See Van underwent preventive examination, so she along with her practitioners can now devise the right plan of care for her. Low-Grade Cervical Dysplasia.