The ASCCP has developed a comprehensive, user friendly app for the Updated ASCCP Mobile App Presentation. ASCCP Store · View Cart. Log In Create an ASCCP Mobile App. The ASCCP. Cytology. Since the publication of the consensus guidelines, new cervical cancer screening guidelines have been published and new information has.

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Documents Flashcards Grammar checker. The society for lower genital tract disorders since Updated Consensus Guidelines agorithms Managing Abnormal Cervical Cancer Screening Tests and Cancer Precursors American Society for Colposcopy and Cervical Pathology Reprinted — April Introduction Cytology Since the publication of the consensus guidelines, new cervical cancer screening guidelines have been published and new information has alyorithms available which includes key cervical cancer screening and follow up, and cervical precancer management data over a nine year period among more than 1 million women cared for at Kaiser Permanente Northern California.

Moreover, women under age 21 are no longer receiving cervical cancer screening and cotesting with high-risk HPV type assays, and cervical cytology is being used to screen algorityms 30 years of age and older. Therefore, in the American Society for Colposcopy and Cervical Pathology ASCCPtogether with its 24 partner professional societies, Federal agencies, and international organizations, began the process of revising the management guidelines.

This culminated in the consensus conference held at the National Institutes of Health in September This report provides updated recommendations for managing women with cytological abnormalities.

A more comprehensive discussion of these recommendations and their supporting evidence was published in the Journal of Lower Genital Tract Acscp and Obstetrics and Gynecology and is made available on the ASCCP website at www.

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Histopathology Appropriate management of women with histo-pathologically diagnosed cervical precancer is an important component of cervical cancer prevention programs. Although the precise number of women diagnosed with cervical precancer each year in the U.

In andthe American Society for Colposcopy and Cervical Pathology and 28 partner professional societies, federal agencies, and international organizations, convened processes to develop and update consensus guidelines for the management of women with cervical precancer.

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Since then, considerable new information has emerged about management of young women, and the impact of treatment for precursor disease on pregnancy outcomes. Progress has also been made in our understanding of the management of women with adenocarcinoma in-situ, also a human papillomavirus HPV —associated precursor lesion to invasive cervical adenocarcinoma.

Therefore, in the ASCCP, together with its partner organizations, reconvened the consensus process of revising the guidelines. This report provides the recommendations developed for managing women with cervical precancer.

All rights reserved General Comments Although the guidelines algorifhms based on evidence whenever possible, for certain clinical situations limited high-quality evidence exists. In these situations the guidelines are based on consensus expert opinion.

Guidelines should never be a substitute for clinical judgment. Clinical judgment should algorthms be used when applying a guideline to an individual patient since guidelines may not apply to all patient-related situations. The Bethesda System terminology is used for cytological classification.

This terminology utilizes the terms low-grade squamous intraepithelial lesion LSIL and high-grade squamous intraepithelial lesion HSIL to refer altorithms low-grade lesions and high-grade cervical cancer precursors respectively.


For managing cervical precancer, the histopathological classification is two-tiered applying the terms cervical intraepithelial neoplasia grade 1 CIN 1 to low-grade lesions and CIN2,3 to high-grade lesions.

Follow-Up of Abnormal Screening Tests

Management decisions based on results using HPV tests not similarly validated may not result in outcomes intended by these guidelines. Testing for low-risk nononcogenic HPV types has no role in evaluating women with abnormal cervical cytological results. Management of Women with Atypical Squamous Cells: Otherwise a diagnostic excisional procedure is indicated.

Excision preferred algoritmhs colposcopy inadequate, positive ECC, or previously treated.

Guidelines – ASCCP

When CIN2 is specified, observation is preferred. When CIN3 is specified, or colposcopy is inadequate, treatment is preferred. Q Endocervical sampling includes obtaining a specimen for either histopathological evaluation using an endocervical curette or a cytobrush or for cytological evaluation using a cytobrush.

Q Endocervical assessment is the process of evaluating the endocervical canal for the presence of neoplasia using either a colposcope or endocervical sampling.

Q Diagnostic excisional procedure is the process of obtaining a specimen from the transformation zone and endocervical canal for histopathological evaluation and includes laser conization, cold-knife conization, loop electrosurgical excision procedure LEEPand loop electrosurgical conization. Q Adequate colposcopy indicates that the entire squamocolumnar junction and the margin of any visible lesion can be visualized with the colposcope.

Louis, MO; Mark H. UK Colposcopy Nurses Group. Slide 1 – Cheshire East Council. Management of Abnormal Pap Smears.