342-362 Guidelines

An update to the American Cancer Society (ACS) guideline regarding screening for the early detection of cervical neoplasia and cancer, based on recommendations from a formal review and recent workshop, is presented. The new screening recommendations address when to begin screening, when screening may be discontinued, whether to screen women who have had a hysterectomy, appropriate screening intervals, and new screening technologies, including liquid-based cytology and HPV DNA testing. (CA Cancer J Clin 2002;52:342-362.) Dr. Saslow is Director, Breast and Gynecologic Cancer, American Cancer Society, Atlanta, GA. Dr. Runowicz is Vice Chairman, Department of Obstetrics and Gynecology, St. Lukes-Roosevelt Hospital Center, New York, NY. Dr. Solomon is Project Officer, ASCUS/LSIL Triage Study, National Cancer Institute, Rockville, MD. Dr. Moscicki is Director, Teen Colposcopy Clinic and Associate Director, Division of Adolescent Medicine, University of California,