© 2004 by Oxford University Press
© 2004 Oxford University Press
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Have We Resolved How To Triage Equivocal Cervical Cytology?
Affiliations of authors: Breast and Gynecologic Cancer Research Group, Division of Cancer Prevention (DS), and Division of Cancer Epidemiology and Genetics (MS), National Cancer Institute, National Institutes of Health, Rockville, MD
Correspondence to: Diane Solomon, MD, Breast and Gynecologic Cancer Research Group, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, 6130 Executive Blvd., Rm. 2130, Rockville, MD 20852 (e-mail: ds87v@nih.gov)
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Virtually all cases of cervical cancer are caused by one of the 15 or more oncogenic types of human papillomavirus (HPV) infection. With the development and refinement of assays to detect HPV DNA, the question becomes how best to integrate HPV testing into cervical cancer screening, which for more than half a century has relied almost exclusively on the Papanicolaou cervical cytology test. One approach has been to consider HPV testing as a second triage test for the relatively large number of women with borderline, equivocal cytology findings of atypical squamous cells of undetermined significance (ASCUS).
ASCUS encompasses both reactive changes that mimic, but are unrelated to, HPV and
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J Natl Cancer Inst 2004 96: 1401-1402.
J Natl Cancer Inst 2004 96: 1402.
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