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Old 12-11-2013
beka-CTS's Avatar
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Arrow Cervical Cancer Screening Algorithms

These are very useful imo, Kaplan Ob is kinda vague regarding management of cervical cytology and dysplasias.

USPSTF summary:

The USPSTF recommends screening for cervical cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for women ages 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years.
The USPSTF recommends against screening for cervical cancer in women younger than age 21 years. The USPSTF recommends against screening for cervical cancer in women older than age 65 years who have had adequate prior screening and are not otherwise at high risk for cervical cancer. The USPSTF recommends against screening for cervical cancer in women who have had a hysterectomy with removal of the cervix and who do not have a history of a high-grade precancerous lesion (i.e., cervical intraepithelial neoplasia [CIN] grade 2 or 3) or cervical cancer



American Society for Colposcopy and Cervical Pathology

U.S. Preventive Services Task Force

The Agency for Healthcare Research and Quality's

Management of Women with Atypical Squamous Cells of Undetermined Significance (ASC-US) on Cytology:

Cervical Cancer Screening Algorithms-asc-us.png
click image to enlarge


Management of Women with Atypical Squamous Cells - Cannot Exclude High-grade SIL (ASC-H):

Cervical Cancer Screening Algorithms-asc-h.png
click image to enlarge

Management of Women with Low-grade Squamous Intraepithelial Lesions (LSIL)

Cervical Cancer Screening Algorithms-lsil.png
click image to enlarge

Management of Women with High-grade Squamous Intraepithelial Lesions (HSIL)

Cervical Cancer Screening Algorithms-hsil.png
click image to enlarge

Management of Women with Biopsy-confirmed Cervical Intraepithelial Neoplasia - Grade 1 (CIN 1) and Satisfactory Colposcopy:

Cervical Cancer Screening Algorithms-cin-1.png
click image to enlarge


Management of Women with Biopsy-confirmed Cervical Intraepithelial Neoplasia - Grade 2 and 3 (CIN 2,3):

Cervical Cancer Screening Algorithms-cin-2-3.png
click image to enlarge

USPSTF:


Cervical Cancer Screening Algorithms-uspstf.png
click image to enlarge

Good Luck

Last edited by beka-CTS; 12-11-2013 at 10:06 PM.
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