Display Settings:

Format

Send to:

Choose Destination
J Low Genit Tract Dis. 2008 Apr;12(2):71-81. doi: 10.1097/LGT.0b013e3181585b9b.

Cervical cytology specimen adequacy: patient management guidelines and optimizing specimen collection.

Author information

  • 1Department of Pathology and Laboratory Medicine, University of Kentucky, Lexington, KY, USA. ddavey@mail.ucf.edu

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 follow-up of patients receiving cervical cytology screening. The topics for future research emphasis will be helpful in promoting studies in needed areas.

PMID:
18369299
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Write to the Help Desk