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Clinical management of unsatisfactory cervical cytology

Clinical management of unsatisfactory cervical cytology

This algorithm describes the steps involved in clinical management of unsatisfactory cytology. Note that "unknown genotype" refers to both HPV testing without genotyping and HPV testing where genotyping is negative for HPV 16 and 18 but positive for other high-risk HPV types.
Patients <25 years inadvertently screened for HPV may be managed differently; see related UpToDate content.

HPV: human papillomavirus; ASCCP: American Society for Colposcopy and Cervical Pathology.
From: Perkins RB, Guido RS, Castle PE, et al. 2019 ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors. J Low Genit Tract Dis 2020; 24:102. DOI: 10.1097/LGT.0000000000000525. Copyright © 2020 the American Society for Colposcopy and Cervical Pathology. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
Graphic 127901 Version 5.0

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