Guidelines for the Well-Woman Exam - CME Conferences
Guidelines for the Well-Woman Exam - CME Conferences Guidelines for the Well-Woman Exam - CME Conferences
2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012Are You ConcernedAbout The NewScreening Intervals ?• ACOG first recommendedlengthening the screening intervalin 2003, and again in 2009• The potential harm, in subsequentpregnancies, from over-screening &treating low-grade lesions is real Preventing all CA is unattainable, andundesirableAre You ConcernedAbout The NewScreening Intervals ?• Reproducibility betweenpathologists is modest
2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012Are You ConcernedAbout The NewScreening Intervals ?• DESPITE the foregoing, the Paphas been largely successfulbecause… Cervical CA has a long latency Of frequent repeating intervals• Paradigm shift: highly reliableHPV-HR-DNA tests now available1018041256Are You ConcernedAbout The NewScreening Intervals ?• HPV/cytologic co-testing is highlysensitive and PV- CIN3+ within 5 years of a neg testis 0.16% Katki H. Lancet Oncol. 2011; 12: 663-72• Potential precancers can beidentified earlierDavid Plourd, MDWomen Exam
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2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012Are You ConcernedAbout The NewScreening Intervals ?• ACOG first recommendedleng<strong>the</strong>ning <strong>the</strong> screening intervalin 2003, and again in 2009• The potential harm, in subsequentpregnancies, from over-screening &treating low-grade lesions is real Preventing all CA is unattainable, andundesirableAre You ConcernedAbout The NewScreening Intervals ?• Reproducibility betweenpathologists is modest
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