By Alan Waxman MD

Colposcopy is reviewed during this factor of Obstetrics and Gynecology Clinics of North the US. there's a good deal of recent details now to be had and Dr. Alan Waxman has assembled an authoritative workforce of authors to pen articles on updates in Colposcopy.

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Extra info for Colposcopy, Cervical Screening, and HPV, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine)

Example text

No cancers were reported. 7% had VAIN on biopsy, and a single cancer developed. A more sobering report from a single hospital in Belgium32 found two vaginal cancers in a series of 94 women followed after hysterectomy with CIN 2 or worse. Because of Cervical Cancer Screening the increased risk for vaginal neoplasia in women who have undergone total hysterectomy with prior high-grade CIN, it is recommended that testing continue until three consecutive negative Pap test are documented within 10 years.

They then showed the cost effectiveness of more frequent screening in younger women by estimating the number of additional tests needed to detect each cancer prevented by annual, rather than triennial, screening. In women younger than 30, averting a single cancer with annual screening would require the addition of 42,621 Pap tests and 2364 colposcopies. The ‘‘cost’’ increases with age to 209,324 Pap tests and 11, 502 colposcopies in the 45-to-59 age group. 27 With increasing age and increasing number of prior screening Pap tests, the cost of each year of life saved rose substantially.

Ronco G, Giorgi-Rossi P, Carozzi F, et al. Results at recruitment from a randomized controlled trial comparing human papillomavirus testing alone with conventional cytology as the primary cervical cancer screening test. J Natl Cancer Inst 2008; 100:492–501. Over view of the Cy tolo gy Lab orator y : Spe cimen Processing Throug h Diagnosis NancyJoste, MD KEYWORDS  Cytology laboratory  Pap tests  Squamous dysplasia  Cervical cancer  HPV test  Computer-assisted screening The initial step of cervical cancer screening of women by a Papanicolaou (Pap) test leads to a report generated by the pathology laboratory.

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