{"id":2379,"date":"2013-12-19T12:54:26","date_gmt":"2013-12-19T12:54:26","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/ccsg\/"},"modified":"2025-05-13T20:27:48","modified_gmt":"2025-05-13T20:27:48","slug":"ccsg","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/ccsg\/","title":{"rendered":"Cervical-Cancer Screening Guidelines"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The incidence of cervical cancer, as well as mortality rates from the disease, has decreased over the past 30 years because of widespread screening with cervical cytology. The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical management guideline on cervical cytology screening.<br \/>\n<!--more--><br \/>\n<strong>Cervical-Cancer Screening Guidelines *<\/strong><\/p>\n<table style=\"width: 100%;\" border=\"1\" width=\"100%\" cellspacing=\"0\" cellpadding=\"4\">\n<colgroup>\n<col width=\"92*\" \/>\n<col width=\"164*\" \/><\/colgroup>\n<tbody>\n<tr valign=\"TOP\">\n<td style=\"width: 19.5152%;\" width=\"36%\"><strong>Age group<\/strong><\/td>\n<td style=\"width: 80.4848%;\" width=\"64%\"><strong>Screening Recommendation<\/strong><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 19.5152%;\" width=\"36%\">&lt;21 yr<\/td>\n<td style=\"width: 80.4848%;\" width=\"64%\">Do not screen.<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 19.5152%;\" width=\"36%\">21\u201329 yr<\/td>\n<td style=\"width: 80.4848%;\" width=\"64%\">Perform cytologic testing alone every 3 years.<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 19.5152%;\" width=\"36%\">30\u201365 yr<\/td>\n<td style=\"width: 80.4848%;\" width=\"64%\">Perform cytologic and HPV cotesting every 5 years (preferred),\u00a0or perform cytologic testing alone every\u00a03 years (acceptable).**<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 19.5152%;\" width=\"36%\">&gt;65 yr<\/td>\n<td style=\"width: 80.4848%;\" width=\"64%\">Discontinue screening if there has been an adequate\u00a0number of negative screening results previously<br \/>\n(3 consecutive negative cytologic tests or 2 consecutive\u00a0negative cotests in the past 10 years, with the\u00a0most recent test in the past 5 years) and if there is no\u00a0history of HSIL,*** adenocarcinoma in situ, or cancer.<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 19.5152%;\" width=\"36%\">Women who have\u00a0undergone\u00a0hysterectomy<\/td>\n<td style=\"width: 80.4848%;\" width=\"64%\">Discontinue screening if the patient has undergone\u00a0a total\u00a0hysterectomy with removal of cervix and if there is no\u00a0history of HSIL, adenocarcinoma in situ, or cancer.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>* The three major sets of screening guidelines were issued by the American\u00a0Cancer Society, American Society for Colposcopy and Cervical Pathology, and\u00a0American Society for Clinical Pathology Multisociety Guidelines Group; the\u00a0American College of Obstetricians and Gynecologists; and the U.S. Preventive\u00a0Services Task Force (USPSTF). The guidelines agree on most recommendations,\u00a0including the recommended age at the start of screening (21 years),\u00a0the age at which screening can be discontinued if the history of negative screening\u00a0is adequate (&gt;65 years), and the recommended interval between tests.\u00a0Specifically,\u00a0cotesting at a 5-year interval is either preferred or acceptable for\u00a0women 30 to 65 years of age, whereas cytologic testing alone every 3 years is\u00a0acceptable for women 21 to 65 years of age. HSIL denotes high-grade squamous\u00a0intraepithelial lesions.<br \/>\n** The terms \u201cpreferred\u201d and \u201cacceptable\u201d are not included in the USPSTF Recommendation\u00a0Statement.<br \/>\n*** HSIL includes cervical intraepithelial neoplasia grade 3 and cases of grade 2\u00a0that stain positive for p16.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Schiffman M, Solomon D. Clinical practice. Cervical-cancer screening with human papillomavirus and cytologic cotesting. N Engl J Med. 2013 Dec 12;369(24):2324-31.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24328466\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Tatsas AD, Phelan DF, Gravitt PE, Boitnott JK, Clark DP. Practice patterns in cervical cancer screening and human papillomavirus testing. Am J Clin Pathol. 2012 Aug;138(2):223-9.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22904133\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Saslow D, Solomon D, Lawson HW, et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. CA Cancer J Clin 2012;62:147-72.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22422631\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Moyer VA. Screening for cervical cancer:\u00a0U.S. Preventive Services Task Force\u00a0recommendation statement. Ann Intern\u00a0Med 2012;156:880-91.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22711081\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>ACOG Practice Bulletin number 131:\u00a0screening for cervical cancer. Obstet Gynecol\u00a02012;120:1222-38.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23090560\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: 20 Jan, 2014<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[87],"tags":[1013,322,1012,1011,273,274,1010,1009,645],"class_list":["post-2379","post","type-post","status-publish","format-standard","hentry","category-obstetrics-gynecology","tag-american","tag-cancer","tag-cervical","tag-college","tag-guia","tag-guidelines","tag-gynecologists","tag-obstetricians","tag-screening"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2379","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2379"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2379\/revisions"}],"predecessor-version":[{"id":9386,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2379\/revisions\/9386"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}