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Re: Gyn: Cervical Cancer ScreeningFrom: Small, Jennifer (JSmall@planned.org)Thu Jan 10 16:39:43 2008
Our agency follows ACCSP guidelines; The full guideline discussion can be downloaded from their site along with the algorithms. No HPV testing under 21 HPV reflex if ASC-US: over 21 through 30 HPV and Cytology at 30 if no risk factors and prior paps NIL Jennifer Small, MSN,WHNP -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Thursday, January 10, 2008 3:14 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: Cervical Cancer Screening Dear all: If you are 30 or more, you can do both, and if both are negative, the patient is good for 3 years without screening. It is inappropriate under 30 due to the high prevalence of HPV in that age group. Our "routine" paps include reflex testing for high risk HPV on all patient, UNLESS we order both cytology and HPV in the 30+ people as primary screening. ASCCP has guidelines, as does ACOG, for this. Garry
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