for the ASCCP Consensus Guidelines Conference. From Washington Ó , American Society for Colposcopy and Cervical Pathology. Journal of. ASCCP Guidelines for Managing Abnormal Cervical Cancer Screening Tests Barbara S. Apgar, MD, MS Professor of Family Medicine University of. testing. • Spring – ACS, ASCCP, ASCP recommend co-testing for screening women age • March – Management guidelines.

Author: Mooguzuru Meztitaxe
Country: United Arab Emirates
Language: English (Spanish)
Genre: Politics
Published (Last): 5 February 2015
Pages: 185
PDF File Size: 17.93 Mb
ePub File Size: 12.42 Mb
ISBN: 662-9-18759-866-1
Downloads: 82932
Price: Free* [*Free Regsitration Required]
Uploader: Arashirn

Over time, if procedural numbers significantly decrease, this may necessitate referral to a physician who performs a concentrated volume of colposcopies, thus removing this procedure from the scope of some general Obstetrician Gynecologists. Risk of persistent oncogenic HPV.

Based on this number, each resident performed 8. Pap in 1 year.

ASCCP Guidelines for Managing Abnormal Cervical Cancer

Repeat colposcopy and biopsy in 6 months 2. Cotesting at 12 and 24 months. Brotzman G, Apgar B. National Center for Biotechnology InformationU. HPV testing at 12 months.

Cotesting in one year. Female patients between the ages of 21 and 65 years were included.

Screening Frequency Age These theoretical results were then compared to the actual number of colposcopies. Routine screening cotesting in 5 yrs. Am J Obstet Gynecol. Introduction When compared worldwide, cervical cancer in the United States has a relatively low ascccp.


Author information Copyright and License information Disclaimer. When CIN2 is specified, observation is preferred. Cervix Uteri Cancer [updated June 28] Available from: This microscopic examination and biopsy of the cervical tissue is used to identify and diagnose cervical cancer or precursors to invasive disease. From a training standpoint, as indications for colposcopy decrease, fewer training opportunities are available for residents. Testing with cytology alone every 3 years.

HPV testing in 1 year.

ASCCP 2013 Guidelines for Managing Abnormal Cervical Cancer

The American Society for Colposcopy and Cervical Pathology ASCCP requires trainees in their mentorship program to perform 25 supervised examinations over a 12 to month period with cytologic, colposcopic, and histologic correlation. Chi-Square tests and Fisher’s Exact tests were used to examine the association of categorical variables.

Risk of progression is high enough to justify potential risks to future pregnancy. Open in a separate window. Cases from April 1, to March 31, were evaluated using the ASCCP guidelines to determine whether colposcopy would still be indicated. In many instances, this leads to visually directed biopsies of the cervix.

We hypothesize the decreased number of young patients requiring colposcopy left more clinic appointments open for outside referrals which tended to represent an older demographic population. She was previously screened with Pap’s only but has had no screening in 5 years. Pap in one year. Seven residents continued to rotate through this colposcopy clinic per year resulting in 8. Lancet Oncol ; When CIN3 is specified, or colposcopy is inadequate, treatment is acscp.


Examples of updates include: These tools have effectively been accp in other programs. She 213 has LSIL.

Biopsy shows CIN 3. Precise reasons for the increased number of colposcopies in this older population are unclear. The largest reductions would have occurred in patients with low grade cytologic abnormalities. Our study suggests residents will get less training in evaluating mild abnormalities while getting a similar experience in evaluating high-grade abnormalities.

Elsevier Publishers, ssccp, JLGTD ; 17 5: This is her first Pap. Patients 24 years and younger 3.

After applying the ASCCP guidelines, 35 of 73 colposcopies would still be performed and 38 would no longer be indicated, resulting in a The new guidelines resulted in a decrease in the number of indications for colposcopy.