A common clinical dilemma: Management of abnormal vaginal cytology and human papillomavirus test results.

ABSTRACT:

Objective

Vaginal cancer is an uncommon cancer of the lower genital tract, and standardized screening is not recommended. Risk factors for vaginal cancer include a history of other lower genital tract neoplasia or cancer, smoking, immunosuppression, and exposure to diethylstilbestrol in utero. Although cervical cancer screening after total hysterectomy for benign disease is not recommended, many women inappropriately undergo vaginal cytology and/or human papillomavirus (hrHPV) tests, and clinicians are faced with managing their abnormal results. Our objective is to review the literature on vaginal cytology and hrHPV testing and to develop guidance for the management of abnormal vaginal screening tests.

Methods

An electronic search of the PubMed database through 2015 was perf

SUBMITTER: Khan MJ 

PROVIDER: S-EPMC4977828 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature