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Text Elements
Abnormal Pap Smear Cytology +/- Abnormal hrHPV Co-testing
LSIL
ASC-US
ASC-H
HSIL
SCC (clear evidence)
Atypical glandular cells
Endometrial cells
Reflex hrHPV testing
Repeat testing in 1 year (age 21-24) or co-testing in 3 years (age >24)
Colposcopy +/- biopsy
Mildly atypical cells in the lower 1/3 of cervix
Moderately atypical cells in the lower 2/3 of cervix
Severely atypical cells in more than the lower 2/3 of cervix
Mild dysplasia (CIN I)
Moderate dysplasia (CIN II)
Severe dysplasia (CIN III)
Repeat testing in 1 year
LEEP or conization
LEEP or conization
Squamous cell carcinoma
Surgical resection and/or chemotherapy (stage-dependent)
Endometrial sampling (if age >=35 or high risk)
CIN II or less
Non-diagnostic or evidence of AIS
Repeat Pap smear with hrHPV co-testing in 12 months
Conization
Adenocarcinoma in situ (AIS)
Adenocarcinoma
Surgical resection
Surgical resection
Endometrial sampling and endocervical curettage
Endometrial pathology
No endometrial pathology
See Abnormal Uterine Bleeding
Proceed based on diagnostic findings
Colposcopy with endocervical curettage
Colposcopy
Element Links
aub-box: Abnormal uterine bleeding