Outcomes of women with positive oncogenic HPV and reflex cytology showing possible high-grade squamous intraepithelial lesion.

Hamon Y K NgJeffrey H J TanAlexandra H MarcegliaSophie BittingerKristy E DundasKaren L TaliaC David H Wrede

Published in: The Australian & New Zealand journal of obstetrics & gynaecology (2021)

We propose a pathway for management of women with positive oncogenic HPV and reflex pHSIL cytology. MDM review is recommended when CIN2+ is not identified on cervical biopsy at initial colposcopy. Conservative management is safe with low risk of CIN2+ when LBC prediction of pHSIL is confirmed or downgraded at MDM with no high-grade change on colposcopy or repeat cytology.

Keyphrases

high grade
low grade
fine needle aspiration
ultrasound guided
type diabetes
metabolic syndrome