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Abnormal Pap and Cervical Dysplasia

Anna K. Zheng, MD and Henry Del Rosario, Doctor of Medicine Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Cervical dysplasia: premalignant cervical disease that is also called cervical intraepithelial neoplasia (CIN); precancerous epithelial changes in the transformation zone of the uter...

DIAGNOSIS

HISTORY

Usually asymptomatic until there is invasive disease. 

PHYSICAL EXAM

Pelvic exam occasionally reveals external HPV lesions. Examine for exophytic or ulcerative cervical lesions, with or...

TREATMENT

ASCCP smart-phone application includes 2019 guidelines: Evidence-based management phone application includes algorithms to guide Pap smear and post-colposcopic diagnostics and therapeutics a...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

After treatment (excision or ablation) of HSIL, CIN II or III or AIS and initial post-treatment management, women should reenter screening with HPV testing or co-...

REFERENCES

1
Perkins RB, Guido RS, Castle PE, et al. 2019 ASCCP risk-based management consensus guidelines for abnormal cervical cancer screening tests and cancer precursors. J Low Genit Tract Dis. 202...

ADDITIONAL READING

SEE ALSO

American Society for Colposcopy and Cervical Pathology. ASCCP diagnostic and management guidelines. https://www.asccp.org/management-guidelines.  

SEE ALSO

  • Cervical Malignancy; Condylomata Acuminata; Trichomoniasis; Vulvovaginitis, Prepubescent

  • Algorithms: Pap, Normal and Abnormal in Nonpregnant Women Ages 25 Years and Older; Pap, Normal and Abno...

CODES

ICD10

  • R87.619 Unspecified abnormal cytological findings in specimens from cervix uteri

  • N87.9 Dysplasia of cervix uteri, unspecified

  • N87.1 Moderate cervical dysplasia

  • N87.0 Mild cervical dysplasia

  • D06...

CLINICAL PEARLS

  • Vaccine should be offered prior to onset of any sexual activity for maximum effectiveness.

  • Know and adhere to recognized screening guidelines to avoid the harms of over screening.

  • Optima...

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