Asc H Management

Atypical squamous cells cannot exclude hsil asc h asc h means that changes in the cervical cells have been found that raise concern for the presence of hsil.

Asc h management. About center for cancer training cct cct staff contact. In addition colposcope all patients who are considered at high risk for cervical cancer including women with hiv or renal transplants. Ascus pap should be followed closely. Ascus most common abnormality before hgsil or cervical cancer.

Agus is another borderline classification. The consensus guidelines present three options for management of asc us. Atypical squamous cells undetermined signif. They are designed to safely triage individuals with abnormal cervical cancer screening results.

The asccp risk based management consensus guidelines represented a consensus of 19 professional organizations and patient advocates convened by asccp. Atypical glandular cells agc glandular cells are another type of cell that make up the thin layer of tissue that covers the inner canal of the cervix. Accounts for 10 of ascus cases. Transfer of a grant.

More conservative not similar management than for similar risks in women 30 64yo 5 yr cin3 risk after ascus lsil 3 risk must be lower after prevalent lesions found 5 yr cin3 risk after asc h 16 hsil 28. Lsil or asc h low grade squamous intraepithelial lesion lsil is the second most common abnormal cytology result and is more common in younger populations with larger numbers of recent partners. Funding for cancer training. Evaluation of women with cervical cytology with asc is reviewed here.

Annual reporting and auditing. For a diagnosis of asc h the cytopathologist must first exclude moderate severe cervical intraepithelial neoplasia or carcinoma in situ cin3 hsil. In some cases women having asc h findings may harbor hsil or invasive cervical cancer in their follow up. Repeat cytology immediate colposcopy and hpv dna testing figure 1.

A finding of asc h is associated with a markedly higher risk of premalignant disease or cervical cancer than asc us. Asc us can be managed below as per prior ascus guideline accounts for 90 of ascus cases. 11 each option has advantages and disadvantages. On the other hand when asc h is found schedule an immediate colposcopy.

Cancer training at nci. The 2019 american society of colposcopy and cervical pathology asccp risk based management consensus guidelines for abnormal cervical cancer screening tests and cancer precursors were released in april 2020 3 4.