Cervical Cytology and HPV Testing

2006 ASCCP Guidelines and CETC Recommendations

March 2010

The 2006 ASCCP Guidelines and the CETC recommendations do have a couple of things to say about special populations, especially adolescents. High-risk HPV testing is not appropriate for the initial triage or management of adolescents, these are women who are under 21 years of age, with any abnormal cytology result. This is because soon after sexual activity, many patients become infected with HPV but the vast majority of these women will clear their HPV infection.

Thus, HPV testing in this adolescent population does not identify a population at significant risk for going on to develop significant preneoplastic dysplasia. Furthermore, if you do HPV testing, the clinician should not be utilizing that information in the follow-up of this individual.

< Previous Slide

CETC Recommendations

Next Slide >

 

Jump to section:

• Introduction
• Anogenital HPV Types¹
• Mechanism for Transformation
• Natural History of HPV Infections²
• HPV DNA Testing in Cervical Specimens: Uses
• Meta-analysis of ASCUS-HPV Triage Studies³
• 2006 Consensus Guidelines-ASC-US
• 2006 Consensus Guidelines-ASC-US
• 2006 ASCCP Guidelines and CETC Recommendations
• 2006 Consensus Guidelines for ASC-US: Special Circumstances
• High-Risk HPV Testing⁵
• Low-Risk HPV Testing
• References
• Questions?