Cervical Screening Guidelines NL 2016
Posted by dkwinter

Cervical
Screening
GUIDELINES
for
Newfoundland
&
Labrador
Routine
Pap
testing
is
recommended
for
women
21
years
&
older.
Screen
annually
for
three
years;
if
all
Pap
testskre
negative
extend
interval
to
one
screen
every
three
years
1Screening
may
cease
if
at
age
69
years
women
have
a
history
of
regular
&
negative
Paps.
Women
who
are
30
who
have
a
Pap
test
with
an
ASCUS
-
HPV
negative
result
continue
with
ROUTINE
screening.
To
order
Pap
test
kits
call
709.777.7242
or
online
www.publichealthlab.com
Hysterectomy
Guidelines:
Cervix
intact/
no
abnormal
history-
routine
screening
Cervix
intact/
history
>HSIL-
annual
screening
Cervix
absent/no
abnormal
history-
screening
complete
For
Women
with
a
Pap
test
Result
of
ASCUS<
30years
or
LSIL
(all
ages):
ASCUS
<
30yrs
&
LSIL
ASCUS
ASC-H
KEY
atypical
squamous
cells
of
undetermined
significance
atypical
squamous
cells
cannot
rule
out
HSIL
Repeat
Pap
in
6
months
ASC-US
repeat
Pap
in
6
months
AGC
atypical
glandular
cells
includes:
AEC-atypical
endocervical
cells
AEMC-atypical
endometrial
cells
AGC-NOS-atypical
glandular
cells-not
otherwise
specified
AGC-FN-atypical
glandular
cells-favouring
neoplasia
return
to
ROUTINE
screening
return
to
ROUTINE
screening
LSIUASC-H/
AGC/
HSIL+
refer
to
colposcopy
Abnormal
cytology
refer
to
LSIL
LSIL-H
HSIL
AIS
low
grade
squamous
intraepithelial
lesion
LSIL
cannot
rule
out
HSIL
high
grade
squamous
intraepithelial
lesion
adenocarcinoma
in
situ
Suspicion
of
Invasion
Referral
to
LSIL-H
colposcopy
is
AGC
(including
ASC-H
recommended...
LSIL
&
ASCUS
ASCUS-HPV
positive
Screening
Statements:
colposcopy
Colposcopy
within
2
weeks
Colposcopy
within
4
weeks
Colposcopy
within
6
weeks
Colposcopy
within
12
weeks
www.easternhealth.ca/
or
call
please
refer
directly
to
your
local
gynecologist.
•
Women
with
a
history
of
>
HSIL
result
have
a
Pap
test
regardless
of
hysterectomy
status.
•
Women
who
are
immune
are
HIV
transplant
have
a
history
of
DES
exposure
in
utero
should
have
a
Pap
test
ANNUALLY.
•
Pregnant
women
should
be
screened
according
to
routine
guidelines.
The
brush
should
not
be
used
after
the
first
10
weeks
of
pregnancy.
Breakable
spatulas
are
available
when
ordering
supplies.
•
Unsatisfactory
Pap
repeat
screen
in
3
months.
•
Endometrial
cells
in
women
45
years
or
older
may
be
associated
with
a
benign
hormonal
alterations
less
endometrial
or
uterine
abnormalities.
Endometrial
evaluation
is
recommended
in
post-menopausal
women.
This
guideline
is
not
intended
to
define
or
serve
as
a
standard
of
medical
care.
Standards
of
medical
care
are
specific
to
all
the
facts
or
circumstances
involved
in
an
individual
case
and
can
be
subject
to
change
as
scientific
knowledge
and
technology
advance
and
as
practice
patterns
evolve.
Cervical
Screening
Initiatives
A
sample
Pap
test
caw
sovwyour
life!
Copyright
2016
Provincial
Coordinating
Office:
35
Carolina
Box
NL
A2N
3P8
Toll
free:
1.866.643.8719
I
Fax:
709.643.1203
SPEC289325B