2012 Updated Consensus Guidelines for Managing Abnormal Cervical
2012 Updated Consensus Guidelines for the Management of Abnormal Cervical Cancer Screening Tests and Cancer Precursors L. Stewart Massad, MD, Mark H. Einstein, MD, Warner K. Huh, MD, Hormuzd A. Katki, PhD, Walter K. Kinney, MD, Mark Schiffman, MD, Diane Solomon, MD, Nicolas Wentzensen, MD, and Herschel W. Lawson, MD, for the 2012 ASCCP Consensus Guidelines Conference From Washington University School of Medicine, St. Louis, Missouri; Albert Einstein College of Medicine, New York, New York; University of Alabama School of Medicine, Birmingham, Alabama; Division of Cancer Epidemiology and Genetics and Division of Cancer Prevention, National Cancer Institute, Bethesda, Maryland; The Permanente Medical Group, Sacramento, California; and Emory University School of Medicine, Atlanta, Georgia h ABSTRACT: A group of 47 experts representing 23 Kaiser Permanente Northern California Medical Care Plan professional societies, national and international health provided evidence on risk after abnormal tests. Where data organizations, and federal agencies met in Bethesda, MD, were available, guidelines prescribed similar management September 14Y15, 2012, to revise the 2006 American Society for women with similar risks forCIN3,AIS,andcancer.Most for Colposcopy and Cervical Pathology Consensus Guidelines. prior guidelines were reaffirmed. Examples of updates in- The group’s goal was to provide revised evidence-based clude: Human papillomavirusYnegative atypical squamous consensus guidelines for managing women with abnormal cells of undetermined significance results are followed with cervical cancer screening tests, cervical intraepithelial neo- co-testing at 3 years before return to routine screening and plasia (CIN) and adenocarcinoma in situ (AIS) following are not sufficient for exiting women from screening at age adoption of cervical cancer screening guidelines incorporat- 65 years; women aged 21Y24 years need less invasive man- ing longer screening intervals and co-testing.
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