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Cervical Cancer, Screening, 2018

* Indicates an old grade definition


Recommendations: Screening for Cervical Cancer

  • Cervical Cancer: Screening --Women aged 21 to 65 years
    Grade: A
    Specific Recommendations:

    The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years.

    For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting).

     

    See the Clinical Considerations section for the relative benefits and harms of alternative screening strategies for women 21 years or older

     

    Frequency of Service:

    screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting).

     

    Risk Factor Information:

    All women aged 21 to 65 years are at risk for cervical cancer because of potential exposure to high-risk HPV types (hrHPV) through sexual intercourse and should be screened. Certain risk factors further increase risk for cervical cancer, including HIV infection, a compromised immune system, in utero exposure to diethylstilbestrol, and previous treatment of a high-grade precancerous lesion or cervical cancer. Women with these risk factors should receive individualized follow-up.

  • Cervical Cancer: Screening --Women older than 65 years
    Grade: D
    Specific Recommendations:

    The USPSTF recommends against screening for cervical cancer in women older than 65 years who have had adequate prior screening and are not otherwise at high risk for cervical cancer.

     See the  Clinical Considerations section  for discussion of adequate prior screening and risk factors that support screening after age 65 years.

    Frequency of Service:

    No Frequency of Service information currently available.

    Risk Factor Information:

    No Risk Factor Information currently available.

  • Cervical Cancer: Screening -- Women Younger than 21 years
    Grade: D
    Specific Recommendations:

    The USPSTF recommends against screening for cervical cancer in women younger than 21 years.

    Frequency of Service:

    No Frequency of Service information currently available.

    Risk Factor Information:

    No Risk Factor Information currently available.

  • Cervical Cancer: Screening -- Women who have had a hysterectomy
    Grade: D
    Specific Recommendations:

    The USPSTF recommends against screening for cervical cancer in women who have had a hysterectomy with removal of the cervix and do not have a history of a high-grade precancerous lesion (ie, cervical intraepithelial neoplasia [CIN] grade 2 or 3) or cervical cancer.

    Frequency of Service:

    No Frequency of Service information currently available.

    Risk Factor Information:

    No Risk Factor Information currently available.

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