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. Author manuscript; available in PMC: 2013 Oct 21.
Published in final edited form as: CA Cancer J Clin. 2012 Mar 14;62(3):147–172. doi: 10.3322/caac.21139

Table 1.

Summary of Recommendations

Population Pages Recommended Screening Method** Management of Screen Results Comments
< 21 Years xx-yy No Screening HPV testing should NOT be used for screening or triage of ASC-US in this age group.
21–29 Years xx-yy Cytology alone every 3 years HPV-Positive ASC-US or cytology of LSIL or more severe: Refer to ASCCP Guidelines2 HPV testing should NOT be used for screening in this age group
Cytology Negative or HPV-Negative ASC-US*: Rescreen with cytology in 3 years
30–65 Years xx-yy HPV and Cytology “Cotesting” every 5 years (Preferred) HPV-Positive ASC-US or cytology of LSIL or more severe: Refer to ASCCP Guidelines2 Screening by HPV testing alone is not recommended for most clinical settings.
HPV Positive, Cytology Negative:
  • Option 1 -- 12-month follow-up with cotesting

  • Option 2 -- Test for HPV16 or HPV16/18 Genotyping

    • if HPV16 or HPV16/18 positive: refer to colposcopy

    • If HPV16 or HPV16/18 negative: 12-month follow-up with cotesting

Cotest Negative or HPV-Negative ASC-US: Rescreen with cotesting in 5 years
Cytology alone every 3 years (Acceptable) HPV-Positive ASC-US* or cytology of LSIL or more severe: Refer to ASCCP Guidelines 2
Cytology Negative or HPV-Negative ASC-US*: Rescreen with cytology in 3 years
>65 Years xx-yy No Screening following adequate negative prior screening Women with a history of CIN2 or a more severe diagnosis should continue routine screening for at least 20 years.
After Hysterectomy xx-yy No Screening Applies to women without a cervix and without a history of CIN2 or a more severe diagnosis in the past 20 years or cervical cancer ever.
HPV Vaccinated xx-yy Follow age-specific recommendations (no changes)
*

ASC-US cytology with secondary HPV testing for management decisions

**

Women should not be screened annually at any age by any method