mdhpv2015030401hpv检测临床关注的问题.pptVIP

The first strategy that we will discuss is called “Cytology with reflex HPV”. This is a strategy that is used in many countries. The primary screen is with liquid based cytology. Women with negative Pap return for routine screening. Women with LSIL or greater are sent to colposcopy. Women with borderline cytology are tested for the presence of a high risk HPV genotype. If a woman has borderline cytology AND is HPV negative, she returns to routine screening. If a woman has borderline cytology AND is HPV positive, she is sent to colposcopy. In this strategy, there are only two options.