The Lower Anogenital Squamous Terminology Standardization Project for HPV-Associated Lesions: background and consensus recommendations from the College of American Pathologists and the American Society for Colposcopy and Cervical Pathology.

Abstract:

:The terminology for human papillomavirus (HPV)-associated squamous lesions of the lower anogenital tract has a long history marked by disparate diagnostic terms derived from multiple specialties. It often does not reflect current knowledge of HPV biology and pathogenesis. A consensus process was convened to recommend terminology unified across lower anogenital sites. The goal was to create a histopathologic nomenclature system that reflects current knowledge of HPV biology, optimally uses available biomarkers, and facilitates clear communication across different medical specialties. The Lower Anogenital Squamous Terminology (LAST) Project was cosponsored by the College of American Pathologists and the American Society for Colposcopy and Cervical Pathology and included 5 working groups; 3 work groups performed comprehensive literature reviews and developed draft recommendations. Another work group provided the historical background and the fifth will continue to foster implementation of the LAST recommendations. After an open comment period, the draft recommendations were presented at a consensus conference attended by LAST work group members, advisors, and representatives from 35 stakeholder organizations including professional societies and government agencies. Recommendations were finalized and voted on at the consensus meeting. The final, approved recommendations standardize biologically relevant histopathologic terminology for HPV-associated squamous intraepithelial lesions and superficially invasive squamous carcinomas across all lower anogenital tract sites and detail the appropriate use of specific biomarkers to clarify histologic interpretations and enhance diagnostic accuracy. A plan for disseminating and monitoring recommendation implementation in the practicing community was also developed. The implemented recommendations will facilitate communication between pathologists and their clinical colleagues and improve accuracy of histologic diagnosis with the ultimate goal of providing optimal patient care.

journal_name

J Low Genit Tract Dis

authors

Darragh TM,Colgan TJ,Cox JT,Heller DS,Henry MR,Luff RD,McCalmont T,Nayar R,Palefsky JM,Stoler MH,Wilkinson EJ,Zaino RJ,Wilbur DC,Members of LAST Project Work Groups.

doi

10.1097/LGT.0b013e31825c31dd

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

205-42

issue

3

eissn

1089-2591

issn

1526-0976

pii

00128360-201207000-00006

journal_volume

16

pub_type

杂志文章,评审
  • Use of electronic medical record-based tools to improve compliance with cervical cancer screening guidelines: effect of an educational intervention on physicians' practice patterns.

    abstract:OBJECTIVE:This study aimed to determine whether electronic medical record (EMR)-based tools influence providers' compliance with guidelines for cervical cancer screening in adolescent (<21 y) patients. MATERIALS AND METHODS:Three EMR-based tools to educate providers on cervical cancer screening guidelines were impleme...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e3182607137

    authors: White P,Kenton K

    更新日期:2013-04-01 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

  • 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

  • Risk of cervical intraepithelial neoplasia 2+ among women with a history of previous treatment for cervical intraepithelial neoplasia: ASCUS and LSIL Pap smears after treatment.

    abstract:OBJECTIVE:The objective of the current study was to describe outcomes among women with low-grade abnormalities on cervical cytology screening in the setting of previous excisional or ablative treatment for cervical intraepithelial neoplasia (CIN). METHODS:Study participants were recruited into the Study to Understand ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e3181ed3d6d

    authors: Burks HR,Smith KM,Wentzensen N,Tenney M,Tuller E,Moxley K,Mathews C,Dunn ST,Wang SS,Gold MA

    更新日期:2011-01-01 00:00:00

  • 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 A...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/00128360-200207000-00008

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

    更新日期:2002-07-01 00:00:00

  • The accuracy of colposcopic grading for detection of high-grade cervical intraepithelial neoplasia.

    abstract:OBJECTIVE:To relate aspects of online colposcopic image assessment to the diagnosis of grades 2 and 3 cervical intraepithelial neoplasia (CIN 2+). METHODS:To simulate colposcopic assessment, we obtained digitized cervical images at enrollment after acetic acid application from 919 women referred for equivocal or minor...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31819308d4

    authors: Massad LS,Jeronimo J,Katki HA,Schiffman M,National Institutes of Health\/American Society for Colposcopy and Cervical Pathology Research Group.

    更新日期:2009-07-01 00:00:00

  • Histologic and colposcopic correlates of ASCUS pap smears in pregnancy.

    abstract:OBJECTIVE:A historic cohort analysis was performed to assess the colposcopic and histologic correlates of atypical squamous cells of undetermined significance (ASCUS) Pap smears in pregnant and nonpregnant women. MATERIALS AND METHODS:A chart review of all gynecologic and obstetric patients seen in the outpatient clin...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/00128360-200204000-00008

    authors: Broderick D,Matityahu D,Dudhbhai M,Alter S

    更新日期:2002-04-01 00:00:00

  • ASCCP Colposcopy Standards: Role of Colposcopy, Benefits, Potential Harms, and Terminology for Colposcopic Practice.

    abstract:OBJECTIVES:The American Society for Colposcopy and Cervical Pathology Colposcopy Standards address the role of and approach to colposcopy and biopsy for cervical cancer prevention in the United States. Working Group 1 was tasked with defining the role of colposcopy, describing benefits and potential harms, and developi...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,评审

    doi:10.1097/LGT.0000000000000338

    authors: Khan MJ,Werner CL,Darragh TM,Guido RS,Mathews C,Moscicki AB,Mitchell MM,Schiffman M,Wentzensen N,Massad LS,Mayeaux EJ Jr,Waxman AG,Conageski C,Einstein MH,Huh WK

    更新日期:2017-10-01 00:00:00

  • Lichen sclerosus: treatment and follow-up at the departments of gynaecology and dermatology.

    abstract:OBJECTIVE:To compare the treatment and follow-up of patients with lichen sclerosus (LS) at the departments of Gynaecology and Dermatology at the Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands, to evaluate the need for a multidisciplinary vulvar clinic. MATERIALS AND METHODS:Treatment and follow-...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e3181c4bfe6

    authors: van der Avoort IA,Tiemes DE,van Rossum MM,van der Vleuten CJ,Massuger LF,de Hullu JA

    更新日期:2010-04-01 00:00:00

  • A Systematic Review of Tests for Postcolposcopy and Posttreatment Surveillance.

    abstract:OBJECTIVE:For the 2019 ASCCP Risk-Based Management Consensus Guidelines, we conducted a systematic review of diagnostic assays for postcolposcopy and posttreatment management. MATERIALS AND METHODS:A literature search was conducted to identify articles reporting on tests/assays for cervical cancer screening, triage, p...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,meta分析

    doi:10.1097/LGT.0000000000000526

    authors: Clarke MA,Unger ER,Zuna R,Nelson E,Darragh TM,Cremer M,Stockdale CK,Einstein MH,Wentzensen N

    更新日期:2020-04-01 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

  • 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

  • Detection of bacterial vaginosis, Trichomonas vaginalis infection, and vaginal Candida infection: a comparative study of methods of extracting exudates, with and without a speculum, during pregnancy.

    abstract:PURPOSE:To compare the collection of vaginal exudates with and without the use of a speculum to diagnose vaginal infections. MATERIAL AND METHODS:We examined 45 patients with vaginal discharge. Two vaginal swabs were taken, one with and the other without a speculum. Both were examined by wet mount microscopy to detect...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/01.lgt.0000179859.29456.ba

    authors: Audisio T,Penacino M,Cannistraci R,Bertolotto P

    更新日期:2005-10-01 00:00:00

  • Clinical Characteristics and Treatment Response With Checkpoint Inhibitors in Malignant Melanoma of the Vulva and Vagina.

    abstract:OBJECTIVES:The aims of the study were to assess the clinical and histopathological characteristics of a comprehensive cohort of women with vulvovaginal melanoma (VVM) treated at our institution and to study the treatment response of checkpoint inhibitors in this patient cohort. MATERIALS AND METHODS:This is a retrospe...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000583

    authors: Wohlmuth C,Wohlmuth-Wieser I,Laframboise S

    更新日期:2020-11-24 00:00:00

  • Fact or Fiction? Adipose-Derived Stem Cells and Platelet-Rich Plasma for the Treatment of Vulvar Lichen Sclerosus.

    abstract:OBJECTIVE:The aim of the study was to summarize and review the evidence for the efficacy and safety of adipose-derived stem cells (ADSCs) and platelet-rich plasma (PRP) for the treatment of vulvar lichen sclerosus (LS). MATERIALS AND METHODS:PubMed/MEDLINE, Ovid, Web of Science, and clinicaltrials.gov were searched fr...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,评审

    doi:10.1097/LGT.0000000000000440

    authors: Eshtiaghi P,Sadownik LA

    更新日期:2019-01-01 00:00:00

  • Mindfulness-Based Group Cognitive Behavior Therapy for Provoked Localized Vulvodynia: A Randomized Controlled Trial.

    abstract:OBJECTIVE:The aim of the study was to compare the effectiveness of mindfulness-based group cognitive behavior therapy (M-gCBT) versus education support group therapy for the pain and distress associated with provoked localized vulvodynia. MATERIALS AND METHODS:Participants were randomized to M-gCBT or education suppor...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/LGT.0000000000000456

    authors: Guillet AD,Cirino NH,Hart KD,Leclair CM

    更新日期:2019-04-01 00:00:00

  • eC3--a modern telecommunications matrix for cervical cancer prevention in Zambia.

    abstract:OBJECTIVES:Low physician density, undercapacitated laboratory infrastructures, and limited resources are major limitations to the development and implementation of widely accessible cervical cancer prevention programs in sub-Saharan Africa. MATERIALS AND METHODS:We developed a system operated by nonphysician health pr...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e3181cd6d5e

    authors: Parham GP,Mwanahamuntu MH,Pfaendler KS,Sahasrabuddhe VV,Myung D,Mkumba G,Kapambwe S,Mwanza B,Chibwesha C,Hicks ML,Stringer JS

    更新日期:2010-07-01 00:00:00

  • Unusual locations of primary subepithelial squamous cell carcinomas of the vulva.

    abstract:OBJECTIVE:This study aimed to report 2 cases of squamous cell carcinoma (SCC) of the vulva, arising from unusual subepithelial locations. MATERIALS AND METHODS:The first case was of an 85-year-old woman with a 65-year history of a mass in the left labium majus. The second case was of a 54-year-old woman who presented ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31827a8c95

    authors: Scurry JP,Yu TT,Otton GR

    更新日期:2013-10-01 00:00:00

  • Use of Smartphones as Adjuvant Tools for Cervical Cancer Screening in Low-Resource Settings.

    abstract:OBJECTIVES:Our aim was to evaluate the feasibility and performance of smartphone digital images for the detection of cervical intraepithelial neoplasia of grade 2 or worse (CIN2+) as an adjunct to a conventional visual inspection approach with acetic acid (VIA) and Lugol's iodine (VILI), in comparison with detection by...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000136

    authors: Ricard-Gauthier D,Wisniak A,Catarino R,van Rossum AF,Meyer-Hamme U,Negulescu R,Scaringella S,Jinoro J,Vassilakos P,Petignat P

    更新日期:2015-10-01 00:00:00

  • The challenge of follow-up in a low-income colposcopy clinic: characteristics associated with noncompliance in high-risk populations.

    abstract:OBJECTIVE:The study aimed to identify sociodemographic and disease-specific factors associated with follow-up in an inner-city multiethnic colposcopy clinic. MATERIALS AND METHODS:All charts of patients referred to colposcopy clinic for abnormal cervical cytology and/or high-risk human papillomavirus infections to the...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e318249640f

    authors: Chase DM,Osann K,Sepina N,Wenzel L,Tewari KS

    更新日期:2012-10-01 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

  • 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

  • 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

  • History of Abuse in Women With Vulvar Pruritus, Vulvodynia, and Asymptomatic Controls.

    abstract:OBJECTIVE:Chronic vulvar pruritus and vulvodynia are common vulvar diseases. The aim of this study was to compare gynecologic and sexual and physical abuse histories from patients with these diagnoses and from healthy controls. MATERIALS AND METHODS:Questionnaires were self-completed by patients diagnosed with vulvar ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0000000000000075

    authors: Cohen-Sacher B,Haefner HK,Dalton VK,Berger MB

    更新日期:2015-07-01 00:00:00

  • A comparison of colposcopy using optical and video colposcopes.

    abstract:OBJECTIVE:To compare the colposcopic adequacy, colposcopic impressions, histologic sampling intent, biopsy site location, procedural complications, and difficulty of colposcopic examinations using optical and video colposcopes. MATERIALS AND METHODS:Women and men presenting consecutively for colposcopy were examined i...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:

    authors: Ferris DG,Ho TH,Guijon F,Macfee MS,Guerra DM,Barrasso R,Duncan ID,Litaker MS

    更新日期:2000-04-01 00:00:00

  • Direct visual inspection of the cervix with Lugol iodine for the detection of premalignant lesions.

    abstract:OBJECTIVE:To evaluate the feasibility and efficiency of direct visual inspection after Lugol iodine painting in detecting cervical premalignant and malignant lesions. MATERIALS AND METHODS:This study included 1,012 women recruited from gynecology outpatient clinic screened for premalignant or malignant lesions of the ...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31815f527c

    authors: El-Shalakany AH,Saeed MM,Abdel-Aal MR,El-Nakeeb AH,Noseirat N,Ayyad SB,El Din ZS

    更新日期:2008-07-01 00:00:00

  • Incidence of cervical intraepithelial neoplasia in Estonia.

    abstract:OBJECTIVE:This study aimed to assess the incidence of cervical intraepithelial neoplasia (CIN) by grade (CIN 1, CIN 2, CIN 3) and age in Estonia (a country with less developed cervical cancer screening program and high cervical cancer incidence). MATERIALS AND METHODS:This descriptive study uses data from a health ins...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e3182652213

    authors: Uusküla A,Raag M,Uppin A,Raud T,Klaar U,Jürisson M,Müürsepp A

    更新日期:2013-04-01 00:00:00

  • Fabric-based exocervical and endocervical biopsy in comparison with punch biopsy and sharp curettage.

    abstract:OBJECTIVES:Fabric-based endocervical and exocervical biopsy tools were compared with exocervical punch biopsy and sharp endocervical curettage. We compared the level of pain reported by the patient and the amount of bleeding rated by the physician relative to the type of biopsy used. MATERIALS AND METHODS:This was a 2...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/LGT.0b013e318234262d

    authors: Winter M,Cestero RM,Burg A,Felix JC,Han C,Raffo AM,Vasilev S

    更新日期:2012-04-01 00:00:00

  • Metronidazole vaginal gel 1.3% in the treatment of bacterial vaginosis: a dose-ranging study.

    abstract:OBJECTIVE:Metronidazole vaginal gel (MVG) 0.75% is a US Food and Drug Administration-approved, 5-day treatment for bacterial vaginosis (BV). This study tested the hypothesis that a shorter treatment course at a higher dose (MVG 1.3%) would yield similar efficacy to 5 days of MVG 0.75%. MATERIALS AND METHODS:This phase...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/LGT.0000000000000062

    authors: Chavoustie SE,Jacobs M,Reisman HA,Waldbaum AS,Levy SF,Hillier SL,Nyirjesy P

    更新日期:2015-04-01 00:00:00

  • Risk factors for progression or persistence of squamous intraepithelial lesions diagnosed during pregnancy.

    abstract:OBJECTIVE:This study aimed to assess the risk of progression/persistence of squamous intraepithelial lesions (SILs) during pregnancy according to the age of the woman, the grade of the lesion, the type of human papillomavirus (HPV) infection, and the mode of delivery. MATERIALS AND METHODS:Eighty pregnant women with a...

    journal_title:Journal of lower genital tract disease

    pub_type: 杂志文章

    doi:10.1097/LGT.0b013e31822e83cf

    authors: Cubo-Abert M,Centeno-Mediavilla C,Franco-Zabala P,Merced-Vázquez C,Castellví J,García A,Gil-Moreno A,Xercavins J

    更新日期:2012-01-01 00:00:00