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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

Journal of Lower Genital Tract Disease: July 2002 - Volume 6 - Issue 3 - pp 195-199
Practice Guidelines

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.

1 Department of Pathology and Laboratory Medicine, University of Kentucky, Lexington, KY; 2 Coastal Pathology and Medical University of South Carolina, Charleston, SC; 3 Department of Pathology, Emory University School of Medicine and Grady Health System, Atlanta, GA; 4 Watkins Student Health Service, University of Kansas, Lawrence, KS; 5 Gynecology Clinic Health Services, University of California, Santa Barbara, CA; 6 Department of Pathology, University of California, San Francisco, CA; 7 Department of Pathology, New York University School of Medicine at Bellevue Hospital Center, New York, NY; 8 Reproductive Health Program, Bremerton-Kitsap County Health District, and University of Washington, Seattle, WA; 9 Department of Pathology, University of Maryland Medical Center, Baltimore, MD; and 10 Planned Parenthood Shasta-Diablo, Concord, CA

Reprint requests to: Diane D. Davey, MD, Department of Pathology and Laboratory Medicine, University of Kentucky Medical Center, 800 Rose St., Suite MS117, Lexington, KY 40536. E-mail: ddavey@uky.edu

©2002The American Society for Colposcopy and Cervical Pathology