Cervical Cancer Screening: The Daily PANCE Blueprint
A 32 y/o female with no abnormal history presents for a well-woman exam. According to the USPSTF, what is an acceptable option for her cervical cancer screening?
A. Pap test every year
B. Pap test every 3 years
C. HPV test every 3 years
D. Co-testing every year
E. Stop screening, no risks
Answer and topic summary
The answer is B. Pap test every 3 years
According to the United States Preventive Services Task Force (USPSTF) guidelines, women should begin cervical cancer screening at age 21. The specific recommendations are as follows:
- Women aged 21 to 29 should have a Pap test (cytology) every three years
- Women aged 30 to 65 have three options for screening:
- A Pap test every three years
- High-risk human papillomavirus (hrHPV) testing alone every five year
- Co-testing with both Pap test and hrHPV testing every five years
Women over 65 years who have had adequate prior screening and are not at high risk for cervical cancer can stop screening. Adequate prior screening is defined as three consecutive negative Pap tests or two consecutive negative co-tests within the past 10 years, with the most recent test occurring within the last five years.
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