Womens Health- Cancer

Question 1

Unsatisfactory Cytology, HPV status unknown or HPV negative at >/= 30 y/o

Answer 1

Repeat cytology in 2-4 months

Question 2

Unsatisfactory Cytology, HPV + or >30

Answer 2

Colposcopy or repeat cytology in 2-4 months

Question 3

Cytology NILM but ECTZ absent/insufficient in a woman > 30 who is…
HPV +
HPV -
HPV Unknown

Answer 3

\+ = Genotype for HPV sybtypes 16 and 18
- = Routine
Unknown = HPV test

Question 4

Cytology NILM but ECTZ absent/insufficient in a woman 21-29.

Answer 4

Routine

Question 5

Obscuring blood/inflammation if…
Increased risk?
No increased risk?

Answer 5

Repeat in 6 months if increased risk. Otherwise routine.

Question 6

> 30 with + HPV but neg cytology

Answer 6

Repeat cotesting in 1 year

HPV DNA typing

Question 7

ASC-US- general

Answer 7

Reflex HPV DNA testing

Question 8

ASC-H general

Answer 8

Colposcopy

Question 9

21-24; ASC-US or LSIL

Answer 9

Repeat cytology at 12 months

Question 10

> 30 years; LSIL + Negative HPV

Answer 10

Repeat co testing in 1 year

Question 11

LSIL, no or positive HPV test, >30, all 25-29 yo

Answer 11

Colposcopy

Question 12

21-24 ASC-H or HSIL

Answer 12

Colposcopy

Question 13

Atypical Glandular Cells- all except atypical endometrial cells:

Answer 13

Colposcopy w/endocervical sampling and Endometrial samplling if >35 years or at risk for endometrial neoplasia

Question 14

Atypical Glandular Cells- atypical endometrial cells

Answer 14

Endometrial and endocervical sampling

Question 15

CIN 1 preceded by “lesser abnormalities” (ASC-US, LSIL, HPV 16, 18, persistent HPV)

Answer 15

cotest at 12 months

Question 16

CIN 1 preceded by ASC-H or HSIL (higher abnormalities)

Answer 16

Cotesting at 12 and 24 months

Diagnositc excision procedure

Question 17

21-24 yo with CIN1 after ASC-US or LSIL

Answer 17

Repeat cytology in 12 months

Question 18

CIN 2-3 with adequate colposcopy

Answer 18

Excision or ablation of T zone

Question 19

CIN 2-3 with inadequate colposcopy, recurrent CIN 2 or 3

Answer 19

Excision

Question 20

Young woman with CIN 2

Answer 20

Observation with colposcopy and cytology at 6 and 12 months

Question 21

Young woman with CIN 3

Answer 21

Excision or ablation of T zone