Cervical Cytology Specimen Adequacy: Patient Management Guidelines and Optimizing Specimen Collection

    Authors

    D. D. Davey; J. T. Cox; R. M. Austin; G. Birdsong; T. J. Colgan; L. P. Howell; M. Husain;T. M. Darragh

    Comments

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    Abbreviated Journal Title

    J. Low. Genit. Tract. Dis.

    Keywords

    cervical cytology screening; Pap test; specimen adequacy; guidelines; management; Bethesda terminology; unsatisfactory; VAGINAL SPECULUM LUBRICATION; SQUAMOUS-CELL CARCINOMA; HUMAN-PAPILLOMAVIRUS; UTERINE CERVIX; UNITED-STATES; INTRAEPITHELIAL; NEOPLASIA; PAPANICOLAOU SMEARS; PAP-SMEARS; HPV DNA; ADENOCARCINOMA; Obstetrics & Gynecology

    Abstract

    Objective. To provide updated management guidelines according to cervical cytology specimen adequacy and techniques to optimize adequacy based on literature review and expert opinion. Materials and Methods. Selected members of the American Society for Colposcopy and Cervical Pathology committee and invited experts conducted a literature review and discussed appropriate management and areas for future research emphasis. Results. The guidelines recommend a repeat Pap test in a short interval of 2 to 4 months for most women when the cytology result is unsatisfactory. The preferred follow-up for women with a negative cytology result lacking an endocervical/transformation zone component or showing other quality indicators is a repeat Pap test in 12 months. Indications for an early repeat Pap test in 6 months are provided, and the influence of human papillomavirus testing results on management is discussed. Techniques for optimizing specimen adequacy are provided in detail. Conclusion. The specimen adequacy management guidelines will help promote uniform and optimal followup of patients receiving cervical cytology screening. The topics for future research emphasis will be helpful in promoting studies in needed areas.

    Journal Title

    Journal of Lower Genital Tract Disease

    Volume

    12

    Issue/Number

    2

    Publication Date

    1-1-2008

    Document Type

    Article

    Language

    English

    First Page

    71

    Last Page

    81

    WOS Identifier

    WOS:000261593300002

    ISSN

    1089-2591

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