Page 159 - Screening for Cervical Cancer: Systematic Evidence Review
P. 159

Chapter I:  Introduction
                      Recommendations of Other Groups about Pap Smear for Cervical Cancer Screening (cont’d)








                            Screening  Age to stop   screening  Interval for “High Risk”  Definition of High Risk   Interval   Continuing for  3 - 6 months or  Cancer, precancerous  Once a year   the rest of her  colposcopy  lesions, a variety of   life  infectious conditions   Age 65, if no  Not mentioned  Not mentioned  At least 2 initial   abnormal  screening tests   smears in the  1 year apart;   prior 9 years,  then interval   unless patient  lengthened at   has not been  discretion of   screened  patient and   adequately  doctor, but not   to exceed >3   year interval











                               Parameters  Age 18 or sexually   At onset of sexual   activity or age 18 if   sexual history is







                               Test  active         unknown
















                      Table 2:    Organization  American Society of   Clinical Pathologists,   1999   American College of   Preventive Medicine,   Practice Guidelines   Committee, 1996







                                                                                  23
   154   155   156   157   158   159   160   161   162   163   164