What are ACOG recommendations with consistent scientific evidence for cervical cancer screening?

Updated: Feb 12, 2019
  • Author: Cecelia H Boardman, MD; Chief Editor: Warner K Huh, MD  more...
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Answer

The ACOG recommendations fall into three categories: those based on consistent scientific evidence, those based on limited and/or inconsistent scientific evidence, and those primarily based on consensus and expert opinion. Major recommendations with consistent scientific evidence include the recommended screening outlined in Table 1, above, and the following [106, 2] :

  • For women with ASC-US, reflex HPV testing is preferred
  • For women with HPV-positive ASC-US, whether identified on reflex HPV testing or co-testing, colposcopy is recommended
  • For women with LSIL and no HPV test or a positive HPV test result, colposcopy is recommended
  • For women with a histologic diagnosis of cervical intraepithelial neoplasia (CIN) 2, CIN 3, or CIN 2,3 and adequate colposcopic examination, both excision and ablation are acceptable treatment modalities, except in pregnant women and young women

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