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What is the appropriate management for a patient with CIN1 on colposcopy?
Erin Avrich1, Sandra Sulik, Joan Nashelsky
1St. Joseph's Hospital Family Practice Residency, Fayetteville, NY, USA.
Abstract:
Of the different strategies available for managing cervical intraepithelial neoplasia grade 1 (CIN1), testing for high-risk subtypes of the human papillomavirus (hr-HPV) DNA at 12 months has the highest sensitivity for predicting the development of CIN2 or CIN3 and leads to the lowest rate of referral to repeat colposcopy. If the hr-HPV DNA test result is negative at 12 months, then the patient may return to routine cytology screening. If the hr-HPV DNA test result is positive, the patient should undergo repeat colposcopy.
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