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


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.