Pap Smear with Cytology Negative for Intraepithelial Lesion or Malignancy (NILM) but HPV Positive in Women 30 Years and Over
Pap Smear with Cytology Negative for Intraepithelial Lesion or Malignancy (NILM) but HPV Positive in Women 30 Years and Over [link url="//www.soapnote.org/tag/pap-smear/" memo="pap smear calculators. "][link url="//www.soapnote.org/women/pap-smear/" memo="main pap smear page. "] Either repeat Co-Testing at 1 year (acceptable) or HPV DNA Typing (acceptable) may be performed. [select name="Qhpvpositive" value="-choose-|Repeat Co-Testing|HPV DNA Typing"] <-- Which follow-up study is chosen?[conditional field="Qhpvpositive" condition="(Qhpvpositive).is('Repeat Co-Testing')"] [select name="Qrepeatcotest" value="-choose-|Cytology negative and HPV negative|Cytology positive or HPV positive"] <-- What is the follow-up study result? [/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('Repeat Co-Testing')&&(Qrepeatcotest).is('Cytology negative and HPV negative')"] Repeat Co-Testing at 3 years - Manage per American Society for Colposcopy and Cervical Pathology (ASCCP) Guidelines[/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('Repeat Co-Testing')&&(Qrepeatcotest).is('Cytology positive or HPV positive')"] Colposcopy is recommended. [/conditional][conditional field="Qhpvpositive" condition="(Qhpvpositive).is('HPV DNA Typing')"] [select name="Qhpvtyping" value="-choose-|HPV 16 and 18 negative|HPV 16 or 18 positive"] <-- What is the follow-up study result? [/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('HPV DNA Typing')&&(Qhpvtyping).is('HPV 16 and 18 negative')"] Repeat Co-Testing at 1 year - Manage per American Society for Colposcopy and Cervical Pathology (ASCCP)[/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('HPV DNA Typing')&&(Qhpvtyping).is('HPV 16 or 18 positive')"] Colposcopy is recommended. [/conditional] [checkbox memo="References (Hide/Show)" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"][link memo="Saslow D et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. J Low Genit Tract Dis. 2012 Jul;16(3):175-204." url="https://www.ncbi.nlm.nih.gov/pubmed/22418039"][/conditional]
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