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A client has treatment for CIN2 or CIN3, co-testing at 12months and 24 months is recommended. If both co-tests are negative, retesting in 3 years is recommended. What if the client has had 1 or 2 negative pap tests in the last 2 years but no HPV test, should we co-test for 2 years and then return to screening in 3 years?
A client has treatment for CIN2 or CIN3. Client was out of program for 2 years then comes back to IBCCP, we have no record of paps or hpv during this time. Should this client be co-tested this year and next year?
Managing remotely treated CIN2+ after hysterectomy
New client age 58 reported hysterectomy due to “cysts” and no paps since. Obtained records for hysterectomy which was done 5/25/89. Per History and Physical hysterectomy was done due to severe dysplasia of cervix. Pathology results were severe dysplasia with free surgical margins. The cervix was removed. Should this client have a pap and hpv?
The client was referred into the program with a Pap with an ASC-H (PT4) result on 1/14/2013. On 2/12/2013 the client had a colposcopy with biopsy and ECC. The results of the colposcopy were “invasive poorly differentiated non-keratinizing squamous cell carcinoma at both the 2 o’clock and 10 o’clock uterine cervix”. This was the final diagnosis and the client was approved for a medical card and later received radiation and chemo. Why didn’t they do a diagnostic excisional procedure?