What does a gynecological cancer screening mainly check for?
Gynecological cancer screening includes human papillomavirus (HPV) testing, liquid-based thin-layer cytology (TCT), colposcopy, cervical biopsy, and ultrasound examination. These tests can detect early abnormalities associated with gynecological malignancies such as cervical and ovarian cancers. If positive results are found or symptoms occur, timely medical evaluation and further diagnosis are recommended.
1. Human Papillomavirus (HPV) Testing: This test checks for infection with high-risk types of HPV, the primary cause of cervical cancer. A cervical cell sample is collected to identify specific viral subtypes, helping assess individual risk for developing cervical cancer.
2. Liquid-Based Thin-Layer Cytology (TCT): Also known as TCT testing, this involves collecting exfoliated cervical cells for cytological analysis to determine whether cellular abnormalities are present. It screens for cervical precancerous lesions and early-stage cervical cancer, serving as a fundamental component of cancer prevention.

3. Colposcopy: Performed when HPV or TCT results are abnormal, this procedure uses magnification to closely examine the cervix and vaginal mucosa, identifying subtle lesions. It provides precise localization for subsequent biopsies, improving diagnostic accuracy.
4. Cervical Biopsy: Under colposcopic guidance, suspicious cervical tissue is sampled and examined pathologically. This is the gold standard for diagnosing cervical cancer and precancerous conditions, allowing definitive determination of lesion type and severity.
5. Ultrasound Examination: Includes abdominal or transvaginal ultrasound to evaluate the structure of the uterus, ovaries, and fallopian tubes. It helps screen for ovarian cancer, endometrial cancer, and other abnormalities such as space-occupying lesions or fluid accumulation.
Avoid sexual intercourse, vaginal douching, and medication use before the examination, and schedule the test outside of menstruation. After testing, maintain external genital hygiene, avoid strenuous activities, follow a light diet, and undergo regular follow-up exams as instructed by your healthcare provider to maximize the effectiveness of cancer screening.