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Table 1 Cervical cancer screening guidelines for women who have undergone a hysterectomy

From: Comparison of cervical cancer screening among women with and without hysterectomies: a nationwide population-based study in Korea

Guideline

Year

Recommendation

Ref.

ASCCP/ACS/ASCP

2012

Women at any age following a hysterectomy with removal of the cervix who have no history of CIN2+ should not be screened for vaginal cancer using any modality.

[15]

USPSTF

2012

There is convincing evidence that continued screening after hysterectomy with removal of the cervix for indications other than a high-grade precancerous lesion or cervical cancer provides no benefits.

[6]

NCCN

2010

Women who have had a total hysterectomy for benign indications and have no prior history of high-grade CIN should discontinue routine cytology testing.

[14]

KSGO

2012

Women who have undergone hysterectomy should continue with screening tests if they have a history of CIN grade 2 or higher or if they do not know their pervious cytology results.

[30]

NCSP

2015

Cervical cancer screening was not recommended for women who underwent hysterectomy and women with no history of CIN grade 2 or higher.

[16]

  1. ASCCP American Society for Colposcopy and Cervical Pathology, ACS American Cancer Society, ASCP American Society for Clinical Pathology, USPSTF U.S Preventive Services Task Force, NCCN National Comprehensive Cancer Network, KSGO Korean Society of Gynecologic Oncology, NCSP National Cancer Screening Program, CIN Cervical Intraepithelial Neoplasia