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Guidelines

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fussion's version from 2017-05-22 05:00

Section

Question Answer Column 3 Column 4
>30 NILM absent EC/TZHPV testingHPV +genotyping or cotesting (cytology with HPV test at 1 year)
>30 NILM absent EC/TZHPV testingHPV unknownHPV testing preferred
>30 NILM HPV - 16, 18repeat cotesting at 1 year
>30 NILM HPV + 16, 18colposcopy
>30 NILM HPV +no genotyping, repeat cotesting at year (negative)repeat cotesting at 3 years
>30 NILM HPV +no genotyping, repeat cotesting at year (ASC or more or HPV+)colposcopy
21-24 ASC or LSILrepeat cytology alone at year
21-24 ASC or LSIL, negative repeat cytology alone at yearrepeat 3x then routine
21-24 ASC or LSIL, positive repeat cytology alone at yearcolposcopy
>30 LSILHPV cotesting
>30 LSIL with negative HPVrepeat cotesting at 1 year>ASC or HPV+ = colpo
>30 LSIL with no HPV or with HPV+colposcopy
pregnant women with CIN 2, 3treatment or observation acceptable if colposcopy is adequateCIN 3 or inadequate colposcopy = treatment CIN 2 = observation
>30 CIN 2, 3 with inadequate colpo/recurrent CIN 2,3 at margins/ ECC is CIN 2, 3diagnostic excisional procedurecotesting at 1 and 2 years
21-24 with ASC or LSIL and no lesion on colporepeat cytology at yearallow 2x ASC then colpo if ASC
21-24 with ASC or LSIL and no lesion on colporepeat cytology at yearASC-H or HSIL = colpo negative
>30 with ASCUS or LSIL and no lesion on colporepeat cotesting at 1 year>ASC or HPV +colpo
>30 with ASCUS or LSIL and no lesion on colporepeat cotesting at 1 year with >ASC or HPV +colpo shows CIN 1 that persists for 2 yearsablative or excision (preferred if inadequate colpo, positive ECC or previously treated)
>30 with ASC-H or HSIL and CIN 1 on colpocotesting at 1 and 2 yearASC-H or lower = colpo
>30 with ASC-H or HSIL and CIN 1 on colpocotesting at 1 and 2 yearHSILexcision
21-24 with ASC-H or HSILno CIN 2, 3 on colpoobservation with colposcopy and cytology
21-24 with ASC-H or HSIL with no CIN 2, 3 on colpoafter 2 consecutive cytology and no high grade lesions = return to routine screening
21-24 with ASC-H or HSIL with no CIN 2, 3 on colpoHSILbiopsy
21-24 with ASC-H or HSIL with no CIN 2, 3 on colpoHSIL that persists for 2 years on follow-up = diagnostic excisional procedure
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