PAP Smear Screening

  • Applies to woman who have a cervix after first sexual activity regardless of sexual history thereafter.
  • Ages 21-29 yrs- every 03 yrs
  • Ages 30-65 yrs- every 3 yrs, if HPV -DNA test also done, every 5 years
  • HPV DNA testing alone is NOT recommended
  • HPV vaccines- continue PAP Smear screening.
  • Even if PAP smear not indicated, get medical check annually
  • Opportunistic screening at all annual visits to health care advised.

Screening for Breast Cancer

  1. Latest guidelines (October 2015) by the American Cancer Society have recommended mammography annually from the age of 45-54 yrs, every two years after the age of 55years.
  2. Cancers have been found to be detected by mammography much before they can be felt.
  3. Once a suspicious area is detected by mammography, a USG/ CT  guided FNAC by a pathologist
  4. Please ensure that a pathologist is available to carry out a guided FNAC procedure as he/she is the one who has to opine on the few cells aspirated and needs to be satisfied with the fact that the aspirate is representative.

Screening for lung Cancer

Annual lung cancer screening with LDCT  (low dose CT Scan) for people who—

  1. Have a history of heavy smoking, and
  2. Smoke now or have quit within the past 15 years, and
  3. Are between 55 and 80 years old.

Heavy Smoking defined as:

30 pack years or more.
( A pack year is smoking an average of one pack of cigarettes per day for one year)
For example, a person could have a 30 pack-year history by smoking one pack a day for 30 years or two packs a day for 15 years.