Initial Management of Abnormal Cervical Cytology (Pap Smear) and HPV Testing. Initial Management of Abnormal Cervical Cytology (Pap Smear) and HPV Testing.

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Source: Institute for Clinical Systems Improvement (ICSI). Initial management of abnormal cervical cytology (Pap smear) and HPV testing. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Oct. 32 p. Initial Management of Abnormal Cervical Cytology (Pap Smear) and HPV Testing Atypical Glandular Cells (AGC) Algorithm Atypical glandular cells (AGC) present. A A = Annotation AGC favor neoplasia (FN). A AGC present, not otherwise specified (NOS). A AGC favor endometrial origin. A AGC favor endocervical origin. A Perform colposcopy and endocervical curettage. A Perform endometrial biopsy if: *Age 35 or older. *Abnormal bleeding. *Morbid obesity. *Oligomenorrhea or *Clinical evaluation suggests. A Treat findings appropriately Are all results normal? Perform further evaluation based on cytology results in boxes 23-26 Atypical glandular cells - favor neoplasia Atypical glandular cells - not otherwise specified Atypical glandular cells - favor endometrial origin Atypical glandular cells - favor endocervical origin Diagnostic excisional procedure. A Individualized clinical treatment. A D&C or endometrial biopsy if not already performed. A Individualized clinical treatment. A All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.