Re: Gyn: Cervical Cancer Screening

From: 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

--

Garry E. Siegel, M.D.

Private Practice

Roswell, GA

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