ascus - mach - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: ascus - mach (/showthread.php?tid=46771) |
ascus - mach - ArchivalUser - 06-03-2005 35 yrs old with pap smear reading of ASCUS. What is the next step? 1- repeat cytology in 3-6 mos 2-HPV/DNA testing 3-colposcopy and biopsy 0 - ArchivalUser - 06-03-2005 repeat pap smear in 3-6 months 0 - ArchivalUser - 06-03-2005 1- if the patient is not likely to come back for followup in 3-6 months then -colposcopy 2- otherwise repeat pap in 3-6 months. 0 - ArchivalUser - 06-04-2005 you need to do HPV/DNA testing. If the results will show HPV types 6, 11 - then follow up in 1 year with pap smear. HPV/DNA testing will reveal HPV 16, 19, 31, 33, 35 - the do colposcopy. 0 - ArchivalUser - 06-04-2005 I go with dralex, we start with HPV testing, if 6 or 11 then repeat pap after 1 yr. If 16,18 or others, then, you need to repeat after 3 months if the followup is certain, otherwise proceed with colposcopy. 0 - ArchivalUser - 06-04-2005 if u have 16,18 u have to see now ,, not in 3 month,,, |