Choosing Wisely:

Don’t perform colposcopy in patients treated for cervical cancer with Pap tests of low-grade squamous intraepithelial lesion or less.

Rationale and Comments: Colposcopy for low-grade abnormalities in this group does not detect recurrence unless there is a visible lesion and is not cost effective.
Sponsoring Organizations:
  • Society of Gynecologic Oncology
  • Sources:
  • Expert consensus
  • Disciplines:
  • Gynecologic
  • Oncologic
  • References: • Rimel BJ, Ferda A, Erwin J, Dewdney SB, Seamon L, Gao F, DeSimone C, Cotney KK, Huh W, Massad LS. Cervicovaginal cytology in the detection of recurrence after cervical cancer treatment. Obstet Gynecol. 2011;118:548-53.
    • Tergas A HL, Guntupalli SR, Huh WK, Massad LS, Fader AN, Rimel BJ. A cost analysis of colposcopy following abnormal cytology in posttreatment surveillance for cervical cancer. Gynecol Oncol. 2013.

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