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Pap Smear with Cytology Negative for Intraepithelial Lesion or Malignancy (NILM) but Endocervical Transition Zone (EC/TZ) Absent or Insufficient in Women 30 Years and Over
Jan 31, 2016
•
Mark Morgan
categories:
Female Health
Pap Smear with Cytology Negative for Intraepithelial Lesion or Malignancy (NILM) but Endocervical Transition Zone (EC/TZ) Absent or Insufficient in Women 30 Years and Over
pap smear calculators.
main pap smear page.
-choose-
Unknown
Negative
Positive
<-- What is the HPV result? [/conditional]
There are two options - HPV testing now(preferred) or Repeat cytology testing at 3 years (acceptable).
-choose-
HPV testing
Repeat cytology at 3 years
<-- Choose subsequent testing
Manage cytology result per American Society for Colposcopy and Cervical Pathology (ASCCP) Guidelines. Proceed to next step -
next step
-choose-
Negative
Positive
<-- What is the HPV result?
Continue routine screening with Co-testing with Pap Test and HPV Testing every 5 years.
Manage similarly as patient with negative Cytology and positive HPV. Proceed to next step -
next step
Continue routine screening with Co-testing with Pap Test and HPV Testing every 5 years.
Manage similarly as patient with negative Cytology and positive HPV. Proceed to next step -
next step
References (Hide/Show)
Saslow D et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. J Low Genit Tract Dis. 2012 Jul;16(3):175-204.
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