Page 160 - Screening for Cervical Cancer: Systematic Evidence Review

Chapter I: Introduction

Age to stop screening Continuing for the rest of her life Age 65, if no abnormal smears in the prior 9 years, unless patient has not been screened adequately

Interval for “High Risk” 3 - 6 months or colposcopy Not mentioned

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

Definition of High Risk Cancer, precancerous lesions, a variety of infectious conditions Not mentioned

Screening Interval Once a year At least 2 initial screening tests 1 year apart; then interval lengthened at discretion of patient and 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

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