Re: Gyn: Cervical Cancer Screening

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Thu Jan 10 18:29:17 2008


Richard:

Routinely, no I do not do HPV testing under 30; it is not appropriate for the general population, unless I'm misinterpreting what's written.

However, the paps are reflexed to HPV testing if ASCUS for all ages.

Garry

At Thu, 10 Jan 2008, Richard Chudacoff wrote: >
>So you do not check HPV in anyone under 30, or am I misreading this?
>
>--
>Richard Chudacoff, MD, FACOG
>
>-----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
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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