ASCCP Patient Management Guidelines: Pap Test Specimen Adequacy and Quality Indicators.

Abstract:

OBJECTIVES:To provide management guidelines according to Pap test specimen adequacy based on literature review and expert opinion. METHODS:A task force named by the American Society for Colposcopy and Cervical Pathology conducted a literature review and discussed appropriate management. The steering committee of the American Society for Colposcopy and Cervical Pathology and other experts reviewed the guidelines. RESULTS:The guidelines recommend a repeat Pap test in 12 months for most women who are undergoing routine annual/biennial screening if the current Pap test is negative but either lacks an endocervical/transformation zone component or is partially obscured. Indications for considering an earlier repeat are also provided. The preferred management for unsatisfactory Pap tests is a repeat Pap test within a short interval of 2 to 4 months. CONCLUSIONS:The management guidelines will help promote optimal and uniform follow-up of women's Pap tests, according to Pap test specimen adequacy.

journal_name

J Low Genit Tract Dis

authors

Davey DD,Austin RM,Birdsong G,Buck HW,Cox JT,Darragh TM,Elgert PA,Hanson V,Henry MR,Waldman J

doi

10.1097/00128360-200207000-00008

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

195-9

issue

3

eissn

1089-2591

issn

1526-0976

pii

00128360-200207000-00008

journal_volume

6

pub_type

杂志文章
  • Clinicopathologic features and treatment outcomes of primary extramammary Paget disease of the vulva.

    abstract:OBJECTIVE:The aim of this study was to identify the clinicopathologic features and treatment outcome of primary extramammary Paget disease of the vulva (EMPDV). MATERIALS AND METHODS:We performed a retrospective analysis of 14 patients who were treated at our center from April 1994 to November 2010. RESULTS:The mean ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000063

    authors: Nomura H,Matoda M,Okamoto S,Kondo E,Omatsu K,Kato K,Takeshima N

    更新日期:2015-04-01 00:00:00

  • Preparing digitized cervigrams for colposcopy research and education: determination of optimal resolution and compression parameters.

    abstract:OBJECTIVE:Visual assessment of digitized cervigrams through the Internet needs to be optimized. The National Cancer Institute and National Library of Medicine are involved in a large effort to improve colposcopic assessment and, in preparation, are conducting methodologic research. MATERIALS AND METHODS:We selected 50...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/01.lgt.0000192696.93172.ae

    authors: Jeronimo J,Long R,Neve L,Ferris D,Noller K,Spitzer M,Mitra S,Guo J,Nutter B,Castle P,Herrero R,Rodriguez AC,Schiffman M

    更新日期:2006-01-01 00:00:00

  • Long-term follow-up comparison of durasphere and contigen in the treatment of stress urinary incontinence.

    abstract::OBJECTIVES.: This study evaluates the long-term clinical success of Durasphere (Carbon Metal Technologies, St. Paul, MN) compared with Contigen (C. R. Bard, Covington, GA) in the treatment of stress urinary incontinence caused by intrinsic sphincter deficiency (ISD). METHODS.: Fifty-two women diagnosed with stress uri...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/00128360-200210000-00009

    authors: Andersen RC

    更新日期:2002-10-01 00:00:00

  • Is colposcopy warranted in women with external anogenital warts?

    abstract::OBJECTIVES.: To determine the prevalence of cervical dysplasia, diagnosed cytologically (squamous intraepithelial lesion [SIL]) or histologically (cervical intraepithelial neoplasia [CIN]), in women with external anogenital warts, and to determine the discriminating risk factors between those with and without cervical...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/00128360-200301000-00006

    authors: Li J,Rousseau MC,Franco EL,Ferenczy A

    更新日期:2003-01-01 00:00:00

  • Human papillomavirus prevalence in invasive anal cancers in the United States before vaccine introduction.

    abstract:OBJECTIVE:This study aimed to conduct a representative survey of human papillomavirus (HPV) prevalence and its genotype distribution in invasive anal cancer specimens in the United States. MATERIALS AND METHODS:Population-based archival anal cancer specimens were identified from Florida, Kentucky, Louisiana, and Michi...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31827ed372

    authors: Steinau M,Unger ER,Hernandez BY,Goodman MT,Copeland G,Hopenhayn C,Cozen W,Saber MS,Huang Y,Peters ES,Lynch CF,Wilkinson EJ,Rajeevan MS,Lyu C,Saraiya M

    更新日期:2013-10-01 00:00:00

  • Interpretation of Nondiagnostic Vulvar Biopsies.

    abstract:OBJECTIVE:The aim of the study was to assess clinical and histopathologic characteristics of symptomatic women who underwent a nondiagnostic biopsy of the inner vulva. MATERIALS AND METHODS:Consecutive nondiagnostic biopsies from medial labia minora, posterior fourchette, and vestibule obtained from symptomatic women ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000366

    authors: Day T,Knight V,Dyall-Smith D,Dennerstein G,Pagano R,Tran H,Tan Y,Yap D,Weigner J,Scurry J

    更新日期:2018-01-01 00:00:00

  • Measurement of endocervical canal extension of the transformation zone on fresh hysterectomy specimens.

    abstract:OBJECTIVE:Determine the extent of endocervical canal extension of the transformation zone on fresh hysterectomy specimens. MATERIALS AND METHODS:After removal for standard gynecologic indications, 201 uteri were evaluated in the pathology accessioning area of a community hospital before formalin fixation. Uteri were o...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/00128360-200310000-00005

    authors: Parker MF,O'Connor DM

    更新日期:2003-10-01 00:00:00

  • Presence of Spontaneous Pain and Comorbid Pain Conditions Identifies Vulvodynia Subgroups.

    abstract:OBJECTIVE:The aims of the study were to define the heterogeneity of vulvodynia by determining data-driven subgroups within the vulvodynia diagnosis using exploratory cluster analysis and to characterize the subgroups identified. MATERIALS AND METHODS:Included were participants in the longitudinal population-based stud...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000166

    authors: Reed BD,Plegue MA,Williams DA,Sen A

    更新日期:2016-01-01 00:00:00

  • Assessment of Anal Cancer Screening Tools in Detecting High-Grade Anal Squamous Intraepithelial Lesions in Women.

    abstract:OBJECTIVE:The aim of the study was to evaluate the validity of anal cytology against high-resolution anoscopy in the detection of anal high-grade squamous intraepithelial lesions (HSILs) among women in a clinical setting in Puerto Rico, alone and in combination with high-risk human papillomavirus (HR-HPV) typing. MATE...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000497

    authors: Ramos-Cartagena JM,Pérez CM,Guiot HM,Amaya-Ardilla CP,Tirado-Gómez M,Ortiz AP

    更新日期:2020-01-01 00:00:00

  • The accuracy of the Papanicolaou smear in the screening and diagnostic settings.

    abstract:OBJECTIVE:We evaluated the performance of the Papanicolaou smear in screening and diagnostic settings. STUDY DESIGN:We analyzed Papanicolaou smear results of 1,850 women recruited into a clinical trial to evaluate an emerging technology for the detection of cervical cancer. Screening and diagnosis groups were based on...

    journal_title:Journal of lower genital tract disease

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/LGT.0b013e31816b44bc

    authors: Cárdenas-Turanzas M,Follen M,Nogueras-Gonzalez GM,Benedet JL,Beck JR,Cantor SB

    更新日期:2008-10-01 00:00:00

  • A Cross-Sectional Review of Cervical Cancer Messages on Twitter During Cervical Cancer Awareness Month.

    abstract:OBJECTIVES:The objectives of this study were to quantify personal stories about cervical cancer and to determine the proportion and sentiment (positive vs negative) of messages ("tweets") that discussed cervical cancer prevention strategies on Twitter. METHODS:This study was a cross-sectional Twitter review of English...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000363

    authors: Teoh D,Shaikh R,Vogel RI,Zoellner T,Carson L,Kulasingam S,Lou E

    更新日期:2018-01-01 00:00:00

  • Comparison of human papilloma virus testing and spectroscopy combined with cervical cytology for the detection of high-grade cervical neoplasia.

    abstract:OBJECTIVE:This study compared the performance of cervical cytology plus human papilloma virus testing (Pap + HPV) or cervical spectroscopy (Pap + CS) for identifying high-grade cervical neoplasia in a high-risk population of women referred for colposcopy. MATERIALS AND METHODS:Each of 113 subjects underwent spectrosco...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/01.lgt.0000230208.58118.58

    authors: Werner CL,Griffith WF 3rd,Ashfaq R,Gossett D,Wilkinson E,Raab S,Bambot S,Mongin D,Faupel M

    更新日期:2007-04-01 00:00:00

  • Massive localized lymphedema of the vulva: report of a case and review of the literature.

    abstract:BACKGROUND:Massive localized lymphedema (MLL) is a recently described entity associated with obesity, most often on the thighs. It rarely occurs on the vulva, and it may pose diagnostic difficulty for both clinician and pathologist in this setting. CASE:An obese 55-year-old woman underwent excision of bilateral polypo...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,评审

    doi:10.1097/LGT.0b013e31829cf432

    authors: Heller DS,Fitzhugh VA,Cracchiolo B,Barrett T Jr,Suidan RS

    更新日期:2014-04-01 00:00:00

  • Mesenchymal lesions of the vulva.

    abstract::Mesenchymal lesions of the vulva may be either regionally specific to the vulva or soft tissue neoplasms that can occur in multiple locations on the body. They may have overlapping histological and immunohistochemical features and, in routine practice, are not likely to be encountered, adding to the diagnostic difficu...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,评审

    doi:10.1097/LGT.0b013e3181f6f2d0

    authors: Fitzhugh VA,Heller DS

    更新日期:2011-04-01 00:00:00

  • Home study course: summer 2005.

    abstract:OBJECTIVE:The Home Study Course is intended for the practicing colposcopist or practitioner who is seeking to develop or enhance his or her colposcopic skills. The goal of the course is to present colposcopic cases that are unusual or instructive in terms of appearance, presentation, or management, or that demonstrate ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/01.lgt.0000171660.77437.f2

    authors: Berry JM,Darragh TM

    更新日期:2005-07-01 00:00:00

  • Cervical cancer in pregnancy: 3 cases, 3 different approaches.

    abstract:OBJECTIVE:Cervical cancer is one of the most common malignancies in pregnancy and one percent of women diagnosed with cervical cancer are pregnant or postpartum at the time of the diagnosis. We discuss how pregnancy will affect the management of cancer, and cancer will affect the management of the pregnancy. MATERIAL ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31824d6fb8

    authors: Ribeiro F,Correia L,Paula T,Santana I,Vieira Pinto L,Borrego J,Jorge AF

    更新日期:2013-01-01 00:00:00

  • Natural history of low-grade squamous intraepithelial lesion.

    abstract:OBJECTIVE:To determine guidelines for management of CIN1 by evaluating its natural history. METHODS:One hundred fifty-eight patients were diagnosed with CIN1 had colposcopy follow-up with or without cytology every three months. RESULTS:Colposcopically directed biopsy confirmed progression to CIN2 or CIN3 in 17 of 158...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:

    authors: Saw HS,Lee JK,Lee HL,Jee HJ,Hyun JJ

    更新日期:2001-07-01 00:00:00

  • Cost-effectiveness of adding human papilloma virus testing to a managed care cervical cancer screening program.

    abstract:OBJECTIVE:The purpose of this study was to demonstrate a methodology for auditing the impact of HCII testing on the direct cost of cervical cancer cytological screening, where the test is collected in all women screened and processed routinely in women age 30 years and older. MATERIALS AND METHODS:After a policy chang...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e318057f319

    authors: Lonky NM,Hunter MI,Sadeghi M,Edwards G,Bajamundi K,Monk BJ

    更新日期:2007-10-01 00:00:00

  • Biopsy site selection during colposcopy and distribution of cervical intraepithelial neoplasia.

    abstract:OBJECTIVE:To determine if sites selected for colposcopic biopsy and histologically proven cervical intraepithelial neoplasia are distributed randomly across the cervix. MATERIALS AND METHODS:Data were evaluated from all patients who visited the Walter Reed Army Medical Center Colposcopy Clinic during a 20-month period...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/00128360-200501000-00008

    authors: Allard JE,Rodriguez M,Rocca M,Parker MF

    更新日期:2005-01-01 00:00:00

  • Efficacy of treatment of inflammatory cytologic abnormalities detected by papanicolaou smears: a pilot study.

    abstract:OBJECTIVE:To evaluate the efficacy of metronidazole versus no treatment for the empiric treatment of inflammatory cytologic changes. MATERIALS AND METHODS:Patients with inflammatory changes on Pap smear were serially assigned to receive no treatment or metronidazole by one of three regimens: 2 grams orally as a single...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1046/j.1526-0976.2001.005002082.x

    authors: Webb JC,Wharton GG,Hawley-Bowland C,Carlson JW

    更新日期:2001-04-01 00:00:00

  • Unique collision of hodgkin lymphoma and adenosquamous carcinoma in the uterine cervix: synchronous malignant neoplasms of the cervix.

    abstract::To document the first reported synchronous occurrence of Hodgkin lymphoma and adenosquamous carcinoma involving the female genital tract. Review of cytologic, histologic, and immunohistochemical studies obtained from a 50-year-old, multiparous, postmenopausal, Hispanic female who had a left inguinal mass, bilateral lo...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/00128360-200310000-00015

    authors: Lovell MO,Valente PT

    更新日期:2003-10-01 00:00:00

  • Lesions and Neoplasms of the Penis: A Review.

    abstract::In addition to practitioners who care for male patients, with the increased use of high-resolution anoscopy, practitioners who care for women are seeing more men in their practices as well. Some diseases affecting the penis can impact on their sexual partners. Many of the lesions and neoplasms of the penis occur on th...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,评审

    doi:10.1097/LGT.0000000000000159

    authors: Heller DS

    更新日期:2016-01-01 00:00:00

  • Interpretability of excisional biopsies of the cervix: cone biopsy and loop excision.

    abstract:OBJECTIVE:To compare the results of cold knife conization (CKC) and loop electrosurgical excision procedure (LEEP) for cervical intraepithelial neoplasia to determine if excisional method has effects on pathologic interpretation. METHODS:Retrospective review of the perioperative medical records of patients who had a C...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31817ff940

    authors: Miroshnichenko GG,Parva M,Holtz DO,Klemens JA,Dunton CJ

    更新日期:2009-01-01 00:00:00

  • Chronic granulomatous inflammation of the vulva: an unusual presentation with diagnostic and therapeutic difficulties.

    abstract::Inflammation of the vulva can present as a manifestation of a localized problem or as part of a systemic disorder. Granulomatous vulvitis is a rare inflammatory condition that has histologic similarities to Crohn disease. Clinically, it presents with painless, chronic relapsing erythema, and edema, typically affecting...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e318216aaac

    authors: Ghosh D,Woodrow S,Mathew J,Lopes A,Das N

    更新日期:2011-10-01 00:00:00

  • Impact of Physical Inactivity on Risk of Developing Cancer of the Uterine Cervix: A Case-Control Study.

    abstract:OBJECTIVE:In this study, we investigated whether physical inactivity was associated with risk of cervical cancer in women treated at an American cancer hospital. METHODS:This case-control study included 128 patients with cervical cancer and 512 controls matched on age. Controls were women suspected of having but not u...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000210

    authors: Szender JB,Cannioto R,Gulati NR,Schmitt KL,Friel G,Minlikeeva A,Platek A,Gower EH,Nagy R,Khachatryan E,Mayor PC,Kasza KA,Lele SB,Odunsi K,Moysich KB

    更新日期:2016-07-01 00:00:00

  • Treatment of cervical intraepithelial neoplasia levels 2 and 3 with adapalene, a retinoid-related molecule.

    abstract:OBJECTIVES:This study examined dose scheduling, safety, and efficacy of adapalene in the treatment of CIN2 and CIN3. METHODS:Patients were instructed on insertion and removal of an adapalene delivery system. Treatment regimens of 4, 8, and 14 days were utilized. Biopsies were performed on day 90 to assess efficacy. Sa...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1046/j.1526-0976.2001.51007.x

    authors: DiSilvestro PA,DiSilvestro JM,Lernhardt W,Pfahl M,Mannel RS

    更新日期:2001-01-01 00:00:00

  • Differences in cervical cytologic and histologic findings between women using depot-medroxyprogesterone acetate and oral contraceptives.

    abstract:OBJECTIVE:This study aimed to compare cervical cytologic and histologic findings between women using depot-medroxyprogesterone acetate (DMPA) and oral contraceptives (OCs) referred for colposcopy and to determine whether there were differences in the occurrence of false-positive cytologic finding between the 2 contrace...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31820eb140

    authors: Clark MK,Stockdale CK,Railsback L,Nichols S

    更新日期:2011-07-01 00:00:00

  • Validity of the Papanicolaou Smear in the Diagnosis of Candida spp., Trichomonas vaginalis, and Bacterial Vaginosis.

    abstract:OBJECTIVE:To determine the validity of the Papanicolaou smear in the diagnosis of bacterial vaginosis, Trichomonas vaginalis, and Candida spp. MATERIALS AND METHODS:We determined the sensitivity, specificity, positive predictive value, and negative predictive value of Pap smears we performed in 824 symptomatic patient...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:

    authors: Audisio T,Pigini T,de Riutort SV,Schindler L,Ozan M,Tocalli C,Bertolotto P

    更新日期:2001-10-01 00:00:00

  • A simplified classification for describing colposcopic vaginal patterns.

    abstract:OBJECTIVE:This study aimed to highlight that colposcopic vaginal patterns are not specific, unlike cervical colposcopic patterns, and to provide a simpler classification of vaginal colposcopic patterns. MATERIALS AND METHODS:A total of 223 patients who underwent colposcopy with Schiller test were assessed (hierarchica...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e318237ec82

    authors: Indraccolo U,Baldoni A

    更新日期:2012-04-01 00:00:00

  • Unusual location of vulvar basal cell carcinoma.

    abstract:BACKGROUND:Basal cell carcinoma (BCC) is a rare tumor of the vulva; it accounts for approximately 2% to 4% of vulvar cancer. CASE:A 73-year-old woman was referred because of a 2-cm ulcerative lesion on her perineum, near the anus. Punch biopsy showed BCC. She underwent wide local excision of tumor without any damage t...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/01.lgt.0000225898.37090.04

    authors: Nazari Z,Omranipour R

    更新日期:2006-10-01 00:00:00