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Journal of Lower Genital Tract Disease:
doi: 10.1097/LGT.0b013e31824ca9d5
Guidelines

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

Saslow, Debbie PhD1; Solomon, Diane MD2; Lawson, Herschel W. MD3; Killackey, Maureen MD4; Kulasingam, Shalini L. PhD5; Cain, Joanna M. MD6; Garcia, Francisco A. R. MD, MPH7; Moriarty, Ann T. MD8; Waxman, Alan G. MD, MPH9; Wilbur, David C. MD10; Wentzensen, Nicolas MD, PhD, MS11; Downs, Levi S. Jr MD12; Spitzer, Mark MD13; Moscicki, Anna-Barbara MD14; Franco, Eduardo L. DrPH15; Stoler, Mark H. MD16; Schiffman, Mark MD17; Castle, Philip E. PhD, MPH18*; Myers, Evan R. MD, MPH19*

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Abstract

Abstract: An update to the American Cancer Society (ACS) guideline regarding screening for the early detection of cervical precancerous lesions and cancer is presented. The guidelines are based on a systematic evidence review, contributions from six working groups, and a recent symposium co-sponsored by the ACS, American Society for Colposcopy and Cervical Pathology (ASCCP), and American Society for Clinical Pathology (ASCP), which was attended by 25 organizations. The new screening recommendations address age-appropriate screening strategies, including the use of cytology and high-risk human papillomavirus (HPV) testing, follow-up (e.g., management of screen positives and screening interval for screen negatives) of women after screening, age at which to exit screening, future considerations regarding HPV testing alone as a primary screening approach, and screening strategies for women vaccinated against HPV16/18 infections.

©2012The American Society for Colposcopy and Cervical Pathology

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