Table 1.
Distribution of worst histologic diagnosis over 2003-2010 by baseline Pap result with (A) HPV triage of ASC-US among women aged 25-29, and (B) cotesting among women aged 30-64.
Total |
Worst histologic diagnosis during follow-up |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|
Baseline Pap and HPV test result | n | <CIN1, n |
CIN1, n |
CIN2, n |
CIN3, n |
AIS, n |
Total CIN3 or AIS, n |
Squamous carcinoma, n |
Adeno- carcinoma, n |
Total cancers, n |
(A) Aged 25-29 at baseline | ||||||||||
Total | 135,382 | 129,428 | 4,037 | 1250 | 621 | 23 | 645 | 12 | 6 | 22 |
LSILa | 3,236 | 1,911 | 981 | 262 | 81 | 1 | 82 | 0 | 0 | 0 |
ASC-USa | 12,209 | 8,963 | 2,292 | 654 | 283 | 9 | 293 | 5 | 2 | 7 |
HPV-positive/ASC-US | 6,340 | 3,418 | 2,034 | 605 | 270 | 8 | 279 | 2 | 2 | 4 |
HPV-negative/ASC-US | 5,485 | 5,237 | 201 | 34 | 11 | 1 | 12 | 1 | 0 | 1 |
HPV-unknown/ASC-US | 384 | 308 | 57 | 15 | 2 | 0 | 2 | 2 | 0 | 2 |
Pap-negativea | 118,684 | 117,936 | 554 | 127 | 61 | 2 | 63 | 1 | 1 | 4 |
(B) Aged 30-64 at baseline | ||||||||||
Total | 965,360 | 942,657 | 15,357 | 4235 | 2480 | 228 | 2723 | 198 | 114 | 388 |
SILa | 9,374 | 4,845 | 3,414 | 780 | 315 | 8 | 325 | 6 | 2 | 10 |
ASC-USa | 27,050 | 21,714 | 3,894 | 927 | 448 | 28 | 479 | 16 | 11 | 36 |
HPV-positive/ASC-US | 9,901 | 5,285 | 3,314 | 844 | 404 | 25 | 432 | 11 | 9 | 26 |
HPV-negative/ASC-US | 16,326 | 15,708 | 511 | 65 | 35 | 2 | 37 | 3 | 1 | 5 |
HPV-unknown/ASC-US | 823 | 721 | 69 | 18 | 9 | 1 | 10 | 2 | 1 | 5 |
Pap-negativea | 923,152 | 913,113 | 7,259 | 1716 | 836 | 106 | 946 | 41 | 52 | 118 |
HPV-negative/Pap-negativeb | 836,803 | 831,843 | 3,990 | 675 | 224 | 22 | 247 | 21 | 16 | 48 |
Total cancers includes not only squamous cell carcinoma and adenocarcinoma but also adenosquamous carcinoma, and cervical cancer of unknown histology or histology unrelated to HPV infection. The category “Total CIN3 or AIS” also includes women with diagnoses that did not differentiate between CIN3 and AIS. “<CIN1” is included for completeness, and includes normal or metaplastic biopsy findings, no biopsy taken, and no record of colposcopy found.
Baseline Pap result alone (regardless of HPV test result)
HPV-positive/Pap-negative results are not presented here but addressed in a separate paper (1)