Disclaimer: AAAS and EurekAlert! J Lower Gen Tract Dis 2020;24:102–131. J Low Genit Tract Dis 2020;24:102-31. In immunocompromised patients of any age, colposcopy referral is recommended for all results cytology results of HPV-positive ASC-US or higher. ASCCP c/o SHS Services, LLC 131 Rollins Ave, Suite 2 Rockville, MD 20852. J Low Genit Tract Dis. Shared decision-making should be used when considering expedited treatment, especially for patients with concerns about the potential impact of treatment on pregnancy outcomes. New 2019 ASCCP Risk-Based Management Consensus Guidelines for abnormal cervical cancer screening tests and cancer precursors provide new recommendations. (PRWEB) June 28, 2020 Replacing guidelines for managing women with abnormal results on cervical cancer screening test from 2012, new recommendations from ASCCP emphasize more precise management based on estimates of the patient’s risk – enabling more personalized recommendations for diagnosis, treatment, and follow-up. The guideline contains the following sections. By Meghan Holohan. Comment: Before this guideline, a clinician had to refer to a variety of published guidelines for management advice (e.g., primary HPV screening; management of HIV positive and immunocompromised individuals). Comment: Other than primary HPV screening and p16 immunohistochemistry (p16 IHC) staining of certain biopsies in the pathology lab, there are no new technologies included in the 2019 Guidelines when compared to the 2012 Guidelines. J Low Genit Tract Dis 2020;24:102–31. Re-screening after her delivery should occur only when 3 years have passed since her last cytology test or 5 years from her last hrHPV-alone or co-test. In April 2020, the 2019 ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors were published. Follow these Guidelines: If you are younger than 21 years—You do not need screening. ASCCP c/o SHS Services, LLC 131 Rollins Ave, Suite 2 Rockville, MD 20852.  @WKHealth, Copyright © 2021 by the American Association for the Advancement of Science (AAAS), University of Colorado Anschutz Medical Campus, American Association for the Advancement of Science, Barcelona Institute for Global Health (ISGlobal), Replacing guidelines for managing women with abnormal results on cervical cancer screening test from 2012. The guidelines articles, as published in the … J Low Genit Tract Dis. Clinicians and staff doing follow-up should obtain the ASCCP APP (iPhone, iPad, Android) or try out the tool on the ASCCP.org website. Release of the 2020 American Cancer Society Cervical Cancer Screening Guidelines On July 30th, the American Cancer Society (ACS) released its updated guidelines for “Cervical Cancer Screening for Individuals at Average Risk". 2019 ASCCP Risk-Based Management Consensus Guidelines: Methods for Risk Estimation, Recommended Management, and Validation Journal of Lower Genital Tract Disease. 2. The fact that this Guideline integrates these other sources, and addresses so many common management dilemmas, is quite helpful. The specific risk estimates for each scenario are listed in the companion articles 2,3. Massad LS, Einstein MH, Huh WK, Katki HA, Kinney WK, Schiffman M, Solomon D, Wentzensen N, Lawson HW; 2012 ASCCP Consensus Guidelines Conference. New guidance for managing further testing for patients with minimal abnormalities detected during cervical cancer screenings have been published in JAMA Insights. Egemen D, Cheung LC, Chen X, et al. Quotations from the main 2019 ASCCP Risk-Based Management Consensus Guidelines article are indicated by indentation. J Low Genit Tract Dis 2017; 21:230–4. The recognition that persistent HPV infection is necessary for developing precancer and cancer (defined as CIN 3+, which includes diagnoses of CIN 3, AIS, and cancer) underlies the 2019 guideline update. 2019 ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors; 2020 ASCCP Poster Presentations; An Introduction to the 2019 ASCCP Risk-Based Management Consensus Guidelines; The New ASCCP Colposcopy Standards The guidelines generally advise a reduction in the number of tests women get over their lifetime to better ensure that they receive the benefits of testing while minimizing the harms, and include a preference … For non-pregnant patients 25 years or older, expedited treatment, defined as treatment without preceding colposcopic biopsy demonstrating CIN 2+, is preferred when the immediate risk of CIN 3+ is ≥60%, and is acceptable for those with risks between 25% and 60%. Below is a listing of the eight most significant modifications in the guidelines. When considering expedited treatment note that: The 2019 Guidelines may result in a greater number of “see-and-treat” LEEP procedures, with the benefit of fewer people being lost to follow-up before the LEEP can be performed, as well as requiring fewer in-person visits for the patient. With this approach, if the cytology result is HSIL and the colposcopy reveals a lesion that has a high likelihood of requiring treatment, an excisional LEEP (CPT code 57460) or a LEEP conization (CPT code 57461) is done for the purpose of diagnosis and treatment in a single step, avoiding the need for 2 visits (one for colposcopy and biopsies and a second for the LEEP procedure itself). On July 20, 2020, the American Cancer Society (ACS) published a new screening guideline entitled “Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society”. 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