Management of Abnormal Cervical Cancer Screening Test Results and Cervical Cancer Precursors

Publication Date: December 1, 2013
Last Updated: March 14, 2022

Recommendations and Conclusions

The following recommendations are based on good and consistent scientific evidence.

  • For women with ASC-US cytology test results, reflex HPV testing is preferred.
  • For women with HPV-positive ASC-US, whether from reflex HPV testing or co-testing, colposcopy is recommended.
  • For women with LSIL cytology test results and no HPV test or a positive HPV test result, colposcopy is recommended.
  • For women with a histologic diagnosis of CIN 2, CIN 3, or CIN 2,3 and adequate colposcopic exami- nation, both excision and ablation are acceptable treatment modalities, except in pregnant women and young women.
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Overview

Title

Management of Abnormal Cervical Cancer Screening Test Results and Cervical Cancer Precursors

Authoring Organization

American College of Obstetricians and Gynecologists