2013年美国阴道镜及宫颈病理学会(ASCCP)宫颈癌筛查指南

A group of 47 experts representing 23 professional societies, national and international health organizations, and federal agencies met in Bethesda, MD, September 14 -15, 2012, to update the ASCCP Consensus Guidelines published in 2007. The group's goal was to provide revised evidence-based consensus guidelines for managing women with abnormal cervical cancer screening tests, and diagnosed cancer precursors. These guidelines follow adoption of updated cervical cancer screening guidelines in 2012 incorporating longer screening intervals and cotesting. In addition to literature review for specific issues, data from almost 1.4 million women in the Kaiser Permanente Northern California Medical Care Plan provided evidence on risk of cervical precancer and invasive cancer over an eight year period after abnormal tests and follow up.