How is a gynecological cervical TCT test performed?

Nov 10, 2021 Source: Cainiu Health
Dr. Yan Ying
Introduction
First, a cervical dilator is used to dilate the cervical os. Then, a small brush-shaped sampler is inserted through the dilated cervical os and gently rotated clockwise five times against the cervix to collect an adequate number of cells. The sampled brush is placed into a small vial containing a specialized preservative solution for rinsing. Subsequently, an automated cytology analyzer is used to disperse and filter the specimen.

Gynecological TCT (ThinPrep Cytologic Test) refers to liquid-based thin-layer cytology testing, primarily used for cervical cancer screening. This method employs liquid-based cytology to effectively classify cervical tissue samples obtained during testing and is considered the most accurate approach for cervical cancer screening.

How is a gynecological cervical TCT test performed?

First, a speculum is inserted to gently dilate the vaginal opening and expose the cervix. A small, brush-like sampling device is then introduced through the speculum into the cervical canal. The brush is gently rotated clockwise five times against the surface of the cervix to collect an adequate number of cells. The brush is subsequently placed into a vial containing a specialized preservative solution and vigorously agitated to release the collected cells. An automated cytology processor then disperses and filters the sample to remove mucus, blood, and inflammatory debris. Finally, microscopic examination and pathological interpretation yield the definitive diagnostic result, which is reported as the cervical TCT test report.

Additional Information: Key Considerations Before Undergoing a Gynecological Cervical TCT Test

1. To prevent introducing viruses via sexual contact that could cause cervical infection, abstain from sexual intercourse for three days following the test. Additionally, avoid tub baths, vaginal douching, or vaginal medication for three days post-procedure, and refrain from any further vaginal examinations during this period.

2. If you have an active gynecological infection, postpone the TCT test until after successful treatment, as inflammation may compromise test accuracy. Ideally, schedule the TCT test during the non-menstrual phase of your cycle. Unmarried women should generally avoid TCT testing to prevent potential hymenal injury.

3. Since cervical sampling during the TCT procedure may cause minor cervical abrasion, maintaining external genital hygiene post-test is essential to prevent infection. Wash and change underwear frequently, and avoid wearing tight-fitting undergarments.

The above outlines the procedure for performing a gynecological cervical TCT test. We hope this information is helpful to you.