cervical

Question 1

Cervical Cancer Screening Guidelines

Answer 1

for women ages 30-69, recommend Papanicolaou (Pap) smear or liquid based cytology for cervical
cancer q3 yr

Question 2

screening for >70 not adequately screened

Answer 2

women ages ≥70 who have not been adequately screened, recommend continued screening until 3
negative test results have been obtained

Question 3

screening for >70 adequately screened

Answer 3

for women ages ≥70 who have been adequately screened (i.e. 3 successive negative Pap tests in the last
10 yr), recommend that routine screening may cease

Question 4

advise for Pap smear Normal

Answer 4

Routine
screening
in 3 yr

Question 5

advise for Pap smear
Inadequate sample

Answer 5

Repeat
cytology
in 3 mo

Question 6

advise for Pap smear
Adequate sample – no TZ

Answer 6

Routine
screening
in 3 yr

Question 7

advise for Pap smear
ASCUS <30 HPV testing not available

Answer 7

repeat cytology in 6 month

Question 8

advise for Pap smear
ASCUS >30 yo

Answer 8

HPV DNA testing

Question 9

ASCUS <30 repeat cytology in 6 months -> ascus

Answer 9

colposcopy

Question 10

ASCUS <30 repeat cytology in 6 months -> negative

Answer 10

repeat cytology in 6 months
if negative routine screening
if ascus - colposcopy

Question 11

Ascus, HPV DNA testing negative

Answer 11

repeat cytology in 12 months

Question 12

Ascus, HPV DNA testing positive

Answer 12

colposcopy

Question 13

pap smear - ASC - H

Answer 13

colposcopy

Question 14

AGUS/
atypical
endocervical
cells/atypical
endometrial
cells

Answer 14

Colposcopy
± endometrial
sampling

Question 15

LSIL

Answer 15

Colposcopy or Repeat cytology
in 6 mo

Question 16

LSIL repeat after 6 months -> negative

Answer 16

repeat in 6 months -> negative -> routine screening