Management of atypical squamous cells, low-grade squamous intraepithelial lesions, and cervical intraepithelial neoplasia 1.
In the American Society for Colposcopy and Cervical Pathology 2006 Consensus Guidelines, several changes in the management of mildly abnormal cervical cytology and histology were made. The most notable changes involve the management of adolescents, pregnant women, and postmenopausal women. For adolescents, management of atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesions is conservative, eliminating the need for immediate colposcopy. For pregnant women, options have been made to allow for deferral of colposcopy until pregnancy completion, whereas for postmenopausal women, the new guidelines call for the option to rely on human papillomavirus DNA testing or repeat cytology to manage mild cytologic abnormalities. The guidelines for cervical intraepithelial neoplasia 1 now focus on conservative management. The goal of this article is to review the 2006 Guidelines, elaborating on the changes and providing the rationale for management decisions.
Boardman
Lori A
LA
University of Central Florida College of Medicine, 12201 Research Parkway, 3rd Floor, Orlando, FL 32816-0116, USA. lboardma@mail.ucf.edu
Kennedy
Colleen M
CM
D001706:Biopsy; D002584:Cervix Uteri / Q000166:cytology / Q000473:pathology; D003127:Colposcopy / Q000379:methods; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods; D027383:Papillomaviridae / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D011230:Precancerous Conditions / Q000145:classification / Q000175:diagnosis / Q000628:therapy / Q000821:virology; D014412:Tumor Virus Infections / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy* / Q000821:virology; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000473:pathology / Q000628:therapy* / Q000821:virology