Secondary Prevention of Cervical Cancer
Key Points
Key Points
- ASCO published its first guideline on secondary prevention of cervical cancer in 2016. This guideline updates the previous. New and altered recommendations for 2022 are identified; others remain the same as in 2016.
- Resource stratified guidelines provide recommendations given the level of resources in particular settings.
- Human papillomavirus (HPV) deoxyribonucleic acid (DNA) testing is recommended in all resource settings; visual inspection with acetic acid may be used in the basic setting.
- Women who are human immunodeficiency virus (HIV)-positive should be screened for HPV after diagnosis and twice as many times throughout their lifetime as those in the general population.
Resource Settings
...Resource Settings...
...source StratificationSetting Bas...
Screening/Triage/Management
...Screeni...
...Maximal Sett...
...22: In maximal resource settings, cervical...
...n who are ≥65 years of age who have had consist...
...results of the HPV DNA test are positive, cli...
...age results are abnormal (i.e., ≥ atypic...
...HPV test results are positive at the repeat 12...
...ave received HPV and cytology co-te...
...sults of the biopsy indicate that women ha...
...n receive treatment for precursor lesions, f...
...Enhanced Setti...
...w in 2022: In enhanced resource settin...
If there are two consecutive negative scr...
Women who are ≥65 years of age who have had c...
...results of the HPV DNA test are pos...
...sults are abnormal (i.e., ≥ASC-US or...
...V test results are positive at the repeat 1...
...ts of colposcopy and biopsy indicate...
...omen receive treatment for precursor lesion...
...Limited Setting...
...2022: Cervical cancer screening with HP...
...ith reflex cytology (quality assured) an...
...r with visual inspection with acetic acid (...
...2: If cytology triage results are abnor...
...in 2022: If HPV genotyping or VIA or VAT triage...
If test results are positive at the repeat 12-mo...
...nt, clinicians should offer ablation if...
...women receive treatment for precursor l...
...Basic Setting...
...ealth systems in basic settings should m...
...2022: If the results of available H...
...in 2022: If primary screening is VIA and resu...
...er women receive treatment for precurs...
...e 1. VIA versus V...
...2. Secondary Prevention of Cervical...
...condary Prevention of Cervical Canc...
...Secondary Prevention of Cervical Cance...
...condary Prevention of Cervical Cancer for...
...that cancer clinical trials are vital to info...