Cervical Cancer Screening

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Specialist Referral Recommended

Refer to Gynaecologist: if clinical features suggestive of cervical cancer

Early referral to Gynecologist for colposcopy and further management: if any of the below:

Cytology result showing:

  1. > 2 Atypical squamous cells of undetermined significance (ASCUS) within 1 year
  2. 2 consecutive unsatisfactory cytology
  3. Atypical Squamous Cells – Cannot Exclude High Grade SIL (ASC-H)
  4. Low Grade Squamous Intraepithelial Lesion (LSIL)
  5. High Grade Squamous Intraepithelial Lesion (HSIL)
  6. Atypical Glandular Cell-Not Otherwise Specified (AGC-NOS) (or atypical endocervical cells)
  7. AGC-favor neoplastic (AGC-FN)
  8. Atypical endometrial cells
  9. Endometrial cells (in a woman ≥ 45 years of age)
  10. Adenocarcinoma in-situ (AIS)
  11. Adenocarcinoma
  12. Squamous cell carcinoma

HPV-based result showing:

  1. High-risk HPV (HrHPV) positive with ASCUS result
  2. HrHPV positive with unsatisfactory cytology result
  3. HrHPV 16/18 positive, regardless of cytology result

ASCUS = Atypical Squamous Cells of Undetermined Significance; ASC-H = Atypical Squamous Cells – Cannot Exclude High Grade SIL; LSIL = Low Grade Squamous Intraepithelial Lesion; HSIL = High Grade Squamous Intraepithelial Lesion; AGC-NOS = Atypical Glandular Cell-Not Otherwise Specified; AGC-FN = AGC-Favor Neoplastic; AIS = Adenocarcinoma in-situ; HrHPV = High-risk HPV

Further Readings Community Resources Reference Materials for Healthcare Professionals Education and Self-Help Materials for the General Public References
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