Title

Management of Atypical Squamous Cells, Low-Grade Squamous Intraepithelial Lesions, and Cervical Intraepithelial Neoplasia 1

Authors

Authors

L. A. Boardman;C. M. Kennedy

Comments

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Abstract

In the American Society for Colposcopy and Cervical Pathology 2006 Consensus Guidelines, several changes in the management of mildly abnormal cervical cytology and histology were made. The most notable changes involve the management of adolescents, pregnant women, and postmenopausal women. For adolescents, management of atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesions is conservative, eliminating the need for immediate colposcopy. For pregnant women, options have been made to allow for deferral of colposcopy until pregnancy completion, whereas for postmenopausal women, the new guidelines call for the option to rely on human papillomavirus DNA testing or repeat cytology to manage mild cytologic abnormalities. The guidelines for cervical intraepithelial neoplasia 1 now focus on conservative management. The goal of this article is to review the 2006 Guidelines, elaborating on the changes and providing the rationale for management decisions.

Journal Title

Obstetrics and Gynecology Clinics of North America

Volume

35

Issue/Number

4

Publication Date

1-1-2008

Document Type

Article

First Page

599

Last Page

+

WOS Identifier

WOS:000262176900008

ISSN

0889-8545

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