2006 Consensus Guidelines for the Management of Women With Abnormal Cervical Screening Tests

Wright, Tom; Ls, Massad; Cj, Dunton; Spitzer, Mark; Ej, Wilkinson; Solomon, Diane

doi:10.1097/lgt.0b013e3181585870

Cited by 322 publications

(296 citation statements)

References 87 publications

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“…At the time of colposcopy, performing a LEEP as initial management for HSIL cytology ("see and treat") has been advocated (Numnum et al, 2005;Wright et al, 2007;ACOG, 2008). Overtreatment rate of the "see and treat" procedure in HSIL women was 5.8% (Kietpeerakool et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Benign or cervical intraepithelial neoplasia (CIN) 2-3 pathologies were detected in 13% and 51% of patients, respectively (Massad et al, 2001 (Charoenkwan et al, 2006). Nowadays, the management of squamous cell carcinoma abnormality type has no unique guidelines, and using the strategies as recommended for HSIL cytology by the American Society for Colposcopy and Cervical Pathology (ASCCP) (Wright et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

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Clinicopathologic Importance of Women with Squamous Cell Carcinoma Cytology on Siriraj Liquid-Based Cervical Cytology

Ruengkhachorn

Laiwejpithaya²,

Leelaphatanadit³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Objectives: The purposes of this study were to determine the prevalence and predictive value to detect significant neoplasia and invasive lesions, and to evaluate the correlation between clinical and histopathology of women with squamous cell carcinoma (SCCA) on Siriraj liquid-based cervical cytology (Siriraj-LBC). Methods: The computerized database of women who underwent Siriraj-LBC at Siriraj Hospital, Mahidol University from January 2007 to December 2010 were retrieved. The hospital records of women with SCCA cytology were reviewed. Results: The prevalence of SCCA cytology was 0.07%. A total of 86 women, mean age was 58.1 years. Sixty-one women (70.9%) were post-menopausal. Overall significant pathology and invasive gynecologic cancer were detected in 84 women (97.7%) and 71 women (82.5%), respectively. The positive predictive values for detection of significant neoplasia and invasive lesion were 97.7% and 82.6%, respectively. The cervical cancer was diagnosed in 69 women and among these 58 women were SCCA. Thirteen women (15.1%) had cervical intraepithelial neoplasia (CIN) 3 and two women (2.3%) had cervicitis. The sensitivity and specificity of colposcopy for cervical cancer detection in SCCA cytology were 83.3% and 75%, respectively. Median follow up period was 17.6 months and 64 patients were alive without cytologic abnormality. Conclusions: The final histopathology of SCCA cytology in our populations demonstrated a wide variety, from cervicitis to invasive cancer and the most common diagnosis was invasive cervical cancer. Colposcopy with biopsy and/or endocervical curettage and loop electrosurgical excision procedure should be undertaken to achieve histologic diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinicopathologic Importance of Women with Squamous Cell Carcinoma Cytology on Siriraj Liquid-Based Cervical Cytology

Ruengkhachorn

Laiwejpithaya²,

Leelaphatanadit³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…[3][4][5] Cervical neoplasia (including carcinoma in situ and invasive carcinoma) is estimated to complicate 1.5 to 12 of every 100,000 pregnancies. [6][7][8] To establish protocols for cervical cancer screening and the treatment of cervical intraepithelial neoplasia in pregnancy, we reviewed recently published guidelines [9][10][11][12] and prepared an algorithm specific to the management of CIN in pregnancy. The evaluation and management of invasive cervical cancer in pregnancy will be discussed in a separate article.…”

mentioning

confidence: 99%

Cervical neoplasia in pregnancy. Part 1: screening and management of preinvasive disease

Hunter

Monk

Tewari

2008

American Journal of Obstetrics and Gynecology

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Cervical cancer screening is an essential component of prenatal care. The diagnosis and management of cervical intraepithelial neoplasia (CIN) during pregnancy are challenging, and sufficient information does not exist to allow for a definitive evidence-based approach. The American Society for Colposcopy and Cervical Pathology has recently published guidelines regarding the evaluation of abnormal Papanicolaou tests and the treatment of CIN in this setting. Many techniques traditionally recommended in the evaluation of abnormal cervical cytology and the treatment of CIN in the nonpregnant woman, such as colposcopy, cervical biopsy, and electrosurgical excision, can be applied to the pregnant patient with important exceptions. The vascular cervix associated with the gravid condition and the risk of premature pregnancy loss mandates deviation from existing consensus guidelines in screening for cervical cancer in pregnancy and treating associated CIN. In the present review, current guidelines regarding cervical cancer screening are reviewed, and data from studies of pregnant populations are summarized.

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“…Outros estudos relatam que a gravidez não afeta o resultado citológico materno ou biologia do tumor, na maioria desses trabalhos, foi avaliado um número pequeno de pacientes e não foram encontrados fatores de prognóstico em casos e controles (16)(17) .…”

Section: Cálculo De Tamanho Da Amostraunclassified

Prevalência de lesões intraepiteliais em atipias de significado indeterminado em um serviço público de referência para neoplasias cervicais

Costa

Barros

2011

Acta paul. enferm.

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Objective: To determine the prevalence of low and high grade intraepithelial lesions in women with Pap smear diagnosis of atypical squamous cells of undetermined significance, in the city of Maceió, Alagoas. Knowing the influence of age and the etiological agents for sexually transmitted diseases on the risk of developing low and high grade intraepithelial lesions. Methods: Cross sectional prevalence study at a public referral center for cervical cancer. We studied records of 253 women with atypical diagnoses of undetermined significance, in 2007. Results: The prevalence of intraepithelial lesions was 23.7%; 26.7% were low grade and 73.3% high grade. Conclusions: The prevalence of high-grade intraepithelial lesions in women with Pap smear diagnosis of atypical squamous cells of undetermined significance (ASCUS) was 23.7%; the increase in risk was directly proportional to the age and higher prevalence of low grade squamous intraepithelial lesion associated with papillomavirus infection.

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2006 Consensus Guidelines for the Management of Women With Abnormal Cervical Screening Tests

Abstract: The 2006 Consensus Guidelines reflect recent data from large clinical trials and advances in technology and are designed to assist clinicians of all subspecialties.

Cited by 322 publications

References 87 publications

Clinicopathologic Importance of Women with Squamous Cell Carcinoma Cytology on Siriraj Liquid-Based Cervical Cytology

Clinicopathologic Importance of Women with Squamous Cell Carcinoma Cytology on Siriraj Liquid-Based Cervical Cytology

Cervical neoplasia in pregnancy. Part 1: screening and management of preinvasive disease

Prevalência de lesões intraepiteliais em atipias de significado indeterminado em um serviço público de referência para neoplasias cervicais

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