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High-grade /moderate / repeat low-grade Pap

Figure I: Management of abnormal Pap diagnosis / ICELAND 2004- without HPV testing. High-grade /moderate / repeat low-grade Pap. Colposcopy Biopsy / ECC. Normal / CIN1 / atypi. Result: CIN 2/3 or worse. Repeat Pap in 6 months x 2 + one in 12 months + one in 24 months.

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High-grade /moderate / repeat low-grade Pap

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  1. Figure I: Management of abnormal Pap diagnosis / ICELAND 2004- without HPV testing High-grade /moderate / repeat low-grade Pap Colposcopy Biopsy / ECC Normal / CIN1 / atypi Result: CIN 2/3 or worse Repeat Pap in 6 months x 2 + one in 12 months + one in 24 months If repeat high-grade Pap Nulliparous women with low-grade histology: Third colposcopy can be considered Definitive therapy If repeat moderate x 1 or low-grade Pap x 2 : Second colposcopy CIN 2/3, AIS, cancer Normal / CIN1 / atypi If repeat moderate / high-grade x 1 or low-grade Pap x 2 : If all Normal: Back to two year screening Repeat Pap in 6 months x 2 + one in 12 months + one in 24 months

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