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Journal of Lower Genital Tract Disease:
Practice Guidelines

ASCCP Patient Management Guidelines: Pap Test Specimen Adequacy and Quality Indicators

Davey, Diane D. MD, Chair1; Austin, R. Marshall MD, PhD2; Birdsong, George MD3; Buck, Henry W. MD4; Cox, J. Thomas MD5; Darragh, Teresa M. MD6; Elgert, Paul A. CT (ASCP)7; Hanson, Vivien MD8; Henry, Michael R. MD9; Waldman, Jeffrey MD10

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Abstract

Objectives. To provide management guidelines according to Pap test specimen adequacy based on literature review and expert opinion.

Methods. A task force named by the American Society for Colposcopy and Cervical Pathology conducted a literature review and discussed appropriate management. The steering committee of the American Society for Colposcopy and Cervical Pathology and other experts reviewed the guidelines.

Results. The guidelines recommend a repeat Pap test in 12 months for most women who are undergoing routine annual/biennial screening if the current Pap test is negative but either lacks an endocervical/transformation zone component or is partially obscured. Indications for considering an earlier repeat are also provided. The preferred management for unsatisfactory Pap tests is a repeat Pap test within a short interval of 2 to 4 months.

Conclusions. The management guidelines will help promote optimal and uniform follow-up of women's Pap tests, according to Pap test specimen adequacy.

©2002The American Society for Colposcopy and Cervical Pathology

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