April 18, 2022

When and how would you screen this patient for cervical cancer? – 02/22/2022

Annals of Internal Medicine- From Grand Rounds Discussion from Beth Israel Deaconess Medical Center

https://pubmed.ncbi.nlm.nih.gov/?myncbishare=dukemlib&dr=abstract&otool=dukemlib&term=35130045

New ACS guideline is to begin cervical cancer screening at age 25, not 21, but USPSTF still recommends screening beginning at age 21. While women under 25 experience a high incidence of HPV infection, they have a low rate of HPV persistence and progression.  Also, this group between the ages of 21-and 24 has the lowest detection rate of cervical precancerous abnormalities, and near 0% cervical cancer risk. Black and Hispanic women have a lower rate of screening and a higher rate of cervical cancer diagnosis and death, compared to white women.

02/22/2022