Evidence supporting the current management guidelines for high-grade squamous intraepithelial lesion cytology.
OBJECTIVE
The study was undertaken to provide consensus guidelines for the management of women with a cytologic interpretation of high-grade squamous intraepithelial lesion (HSIL) on cytologic examination. This review article presents relevant literature supporting the proposed guidelines.


METHODS
An independent panel of 121 experts in various aspects of the diagnosis and management of cervical cancer precursors, including representatives from 29 participating professional organizations, federal agencies, national and international health organizations, and others were invited by the American Society for Colposcopy and Cervical Pathology.


METHODS
Guidelines for the management of women with HSIL cytologic results were developed through a multistep process. Draft management guidelines were developed by the HSIL working group after formal literature reviews and obtained input from the professional community at large by way of an interactive internet-based bulletin board. At the American Society for Colposcopy and Cervical Pathology Consensus Conference, September 6 through 8, 2001, in Bethesda, Maryland, the guidelines were discussed, revised, and adopted by formal vote.


CONCLUSIONS
Evidence-based guidelines have been developed for the management of women with HSIL cytologic results.
Padilla-Paz
Luis A
LA
Division of Gynecologic Oncology, University of New Mexico, Albuquerque, NM 87122, USA. lupadilla@salud.unm.edu
Carlson
Jay
J
Twiggs
Leo B
LB
Lonky
Neal
N
Crum
Christopher P
CP
Felix
Juan
J
Hunter
Verda
V
Krumholz
Burton
B
Massad
L Stewart
LS
Benedet
J L
JL