ASCCP GUIDELINES 2013 PDF

A group of 47 experts representing 23 professional societies, national and international health organizations, and federal agencies met in Bethesda, MD, September , , to revise the American Society for Colposcopy and Cervical Pathology Consensus Guidelines. The group's goal was to provide revised evidence-based consensus guidelines for managing women with abnormal cervical cancer screening tests, cervical intraepithelial neoplasia CIN and adenocarcinoma in situ AIS following adoption of cervical cancer screening guidelines incorporating longer screening intervals and co-testing. In addition to literature review, data from almost 1. Where data were available, guidelines prescribed similar management for women with similar risks for CIN 3, AIS, and cancer. Most prior guidelines were reaffirmed. Examples of updates include: Human papillomavirus-negative atypical squamous cells of undetermined significance results are followed with co-testing at 3 years before return to routine screening and are not sufficient for exiting women from screening at age 65 years; women aged years need less invasive management, especially for minor abnormalities; postcolposcopy management strategies incorporate co-testing; endocervical sampling reported as CIN 1 should be managed as CIN 1; unsatisfactory cytology should be repeated in most circumstances, even when HPV results from co-testing are known, while most cases of negative cytology with absent or insufficient endocervical cells or transformation zone component can be managed without intensive follow-up.

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Read terms. Guidelines have been revised several times over the past decade to incorporate new evidence and technologies 1 2. Important changes to these guidelines include the following: Defining when to return to routine screening after treatment or resolution of abnormalities given the longer screening intervals recommended by the updated American Cancer Society screening guidelines 4.

The purpose of this document is to present the most recent revisions to guidelines for managing abnormal cervical cancer screening test results and cervical cancer precursors, describe the LAST Project terminology, and provide guidance on applying the new management guidelines with this terminology.

ACOG Clinical is designed for easy and convenient access to the latest clinical guidance for patient care. Figure 1. Figure 2. Figure 3. Management of women with low-grade squamous intraepithelial lesions LSIL.

Figure 4. Figure 5. Management of women with high-grade squamous intraepithelial lesions HSIL. Figure 6. Figure 7. Initial workup of women with atypical glandular cells AGC. Abbreviation: AGC, atypical glandular cells. Figure 8. Figure 9. Figure Management of women ages 21—24 with no lesion or biopsy-confirmed cervical intraepithelial neoplasia—grade 1 CIN1. Management of young women with biopsy-confirmed cervical intraepithelial neoplasia—grade 2,3 CIN 2,3 in special circumstances.

Abbreviations: CIN, cervical intraepithelial neoplasia; T-zone, transformation zone. Management of women with biopsy-confirmed cervical intraepithelial neoplasia—grade 2 and 3 CIN 2,3.

Bulk pricing was not found for item. Please try reloading page. Featured Clinical Topics. Jump to Jump to Close. Search Page. Resources Close. Share Facebook Twitter Email Print. Important changes to these guidelines include the following: Defining when to return to routine screening after treatment or resolution of abnormalities given the longer screening intervals recommended by the updated American Cancer Society screening guidelines 4 Improving incorporation of HPV testing Applying guidelines previously developed for adolescents to individuals aged 21—24 years Integrating new data on risk of high-grade precursor lesions and cancer The ASCCP—College of American Pathologists Lower Anogenital Squamous Terminology Standardization LAST Project recommended standardizing histopathologic terminology for HPV-associated squamous intraepithelial lesions and superficially invasive squamous carcinoma across all lower anogenital tract sites 5.

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Management of Abnormal Cervical Cancer Screening Test Results and Cervical Cancer Precursors

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The primary objective was to determine the theoretical number of colposcopies at a resident clinic if the American Society for Colposcopy and Cervical Pathology ASCCP guidelines were applied. The secondary objective was to determine the actual number of colposcopies before and after the ASCCP guidelines. This was a two-part descriptive study. The first part applied the ASCCP guidelines to all pre-guideline colposcopy cases at a single resident clinic.

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Guidelines

Read terms. Guidelines have been revised several times over the past decade to incorporate new evidence and technologies 1 2. Important changes to these guidelines include the following: Defining when to return to routine screening after treatment or resolution of abnormalities given the longer screening intervals recommended by the updated American Cancer Society screening guidelines 4. The purpose of this document is to present the most recent revisions to guidelines for managing abnormal cervical cancer screening test results and cervical cancer precursors, describe the LAST Project terminology, and provide guidance on applying the new management guidelines with this terminology. ACOG Clinical is designed for easy and convenient access to the latest clinical guidance for patient care. Figure 1. Figure 2.

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