This title slide introduces "CIN Screening & Management – A Comprehensive Academic Review for Final Year MBBS," focusing on a deep dive for final-year medical students. It includes the presenter's name and date in the subtitle.

CIN Screening & Management – A Comprehensive Academic Review for Final Year MBBS

Deep Dive for Final Year MBBS | Your Name | Date

This agenda slide outlines the presentation structure on CIN, starting with an introduction, screening methods, and evaluation protocols. It continues with management strategies, WHO/FOGSI guidelines, case studies, and ends with key takeaways.

Presentation Agenda

1. Introduction to CIN
2. Screening Methods
3. Evaluation Protocols
4. Management Strategies
5. WHO/FOGSI Guidelines
6. Case Studies
7. Key Takeaways

Source: CIN Screening, Evaluation & Management Deep Dive

This section header slide introduces "CIN" (Cervical Intraepithelial Neoplasia) as the first topic in a comprehensive academic review for final year MBBS students on CIN screening and management. It highlights the key focus areas: definition, risk factors, and epidemiology.

CIN Screening & Management – A Comprehensive Academic Review for Final Year MBBS

01

Introduction to CIN

Cervical Intraepithelial Neoplasia: Definition, Risk Factors, Epidemiology

Source: Recreated 'CIN Screening, Evaluation & Management Deep Dive' presentation

Risk factors for the condition include high-risk HPV infection (types 16, 18), smoking, immunosuppression, and multiple sexual partners. Globally, there are 300,000 cases per year according to the WHO.

Risk Factors & Epidemiology

• High-risk HPV infection (types 16, 18)
• Smoking and immunosuppression
• Multiple sexual partners
• Global incidence: 300,000 cases/year (WHO)

Source: CIN Screening, Evaluation & Management Deep Dive

Screening methods for cervical cancer include Pap Smear for cytological detection of abnormal cells, HPV testing for high-risk strains like 16 and 18, and visual inspection techniques (VIA or VILI) suited for low-resource settings. Guidelines feature WHO-recommended screen-and-treat algorithms using VIA/HPV, along with FOGSI recommendations for HPV primary screening in women 30+ followed by cytological triage.

Screening Methods

| • Pap Smear: Cytological detection of abnormal cervical cells

• HPV Testing: Identifies high-risk oncogenic strains (16,18)
• Visual Inspection: VIA (acetic acid) or VILI (iodine) for low-resource settings | • WHO-recommended: Screen-and-treat algorithms with VIA/HPV
• FOGSI Guidelines: HPV primary screening for women 30+, triage with cytology

📊 Medical icons: Microscope (Pap), DNA helix (HPV), Eye (Visual) |

Source: CIN Screening, Evaluation & Management Deep Dive

The slide outlines management for cervical intraepithelial neoplasia (CIN) grades. CIN1 (mild dysplasia) is managed by observation, while CIN2/3 (moderate/severe) requires biopsy and treatment.

Evaluation & Colposcopy

Source: CIN Screening Guidelines

The Management Workflow outlines cervical screening phases starting with Pap Smear/HPV Test by Primary Care/GP, progressing to Colposcopy and Biopsy by Gynae Oncologist for abnormalities, and LEEP/Cone Biopsy by Gynae Surgeon for high-grade CIN. Post-treatment follow-up with Cytology/Colposcopy occurs 6-12 months later under Gynae Oncologist, with specified durations for each step.

Management Workflow

Source: CIN Screening, Evaluation & Management Deep Dive

Early screening saves lives, following WHO/FOGSI protocols with a multidisciplinary approach are the key takeaways. Thank you! Questions? Implement protocols in your practice today.

Key Takeaways & Q&A

<ul style='font-size: 28px; line-height: 1.4; color: #2E7D7D; margin: 20px 0;'> <li>Early screening saves lives</li> <li>Follow WHO/FOGSI protocols</li> <li>Multidisciplinary approach</li> </ul> <div style='font-size: 36px; color: #6A1B9A; font-weight: bold; margin: 40px 0;'>Thank you! Questions?</div> <div style='font-size: 24px; color: #555; margin-top: 20px;'>Contact info & references</div>

Closing Message: Act Now, Save Lives | Call-to-Action: Implement protocols in your practice today

Source: CIN Screening, Evaluation & Management Deep Dive