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Related Experiment Video

Updated: Jun 16, 2026

Optimization of Breast Biopsy and Mastectomy Sample Collection Procedures for Biobanking, Personalized Medicine, and Research Applications
06:42

Optimization of Breast Biopsy and Mastectomy Sample Collection Procedures for Biobanking, Personalized Medicine, and Research Applications

Published on: September 2, 2025

Repeat pap testing and colposcopic biopsies in the underserved.

Katrina F Trivers1, Vicki B Benard, Christie R Eheman

  • 1From the Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Obstetrics and Gynecology
|February 20, 2010
PubMed
Summary
This summary is machine-generated.

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Colposcopic biopsies are frequently performed on young women following cervical cancer screening. However, these biopsies may not efficiently detect serious disease, contradicting current follow-up guidelines.

Area of Science:

  • Gynecology
  • Oncology
  • Public Health

Background:

  • Cervical cancer screening aims to detect precancerous and cancerous lesions early.
  • The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) serves a large population of women.
  • Understanding patterns of follow-up testing is crucial for optimizing screening protocols.

Purpose of the Study:

  • To quantify the rates of repeat Pap testing and colposcopic biopsies in the NBCCEDP.
  • To analyze demographic factors associated with receiving colposcopic biopsies versus repeat Pap tests.
  • To evaluate the positive predictive value of different cervical cancer diagnostic strategies.

Main Methods:

  • Analysis of data from 955,494 women in the NBCCEDP (2003-2006).
  • Estimation of age-standardized rates for repeat Pap tests and colposcopic biopsies.

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Optimization of Breast Biopsy and Mastectomy Sample Collection Procedures for Biobanking, Personalized Medicine, and Research Applications
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  • Multivariable logistic regression to determine odds ratios for colposcopic biopsy receipt.
  • Calculation of positive predictive values for cervical intraepithelial neoplasia (CIN) 2 or worse.
  • Main Results:

    • Over 39,000 women had repeat Pap testing and over 53,000 had colposcopic biopsies.
    • Rates were 37.2/1,000 for repeat Pap tests and 39.3/1,000 for colposcopic biopsies.
    • Younger, Hispanic, and African-American women were more likely to undergo colposcopic biopsies.
    • Positive predictive values for colposcopic biopsy were 27% for ASC-H and 70% for HSIL/SCC.

    Conclusions:

    • Colposcopic biopsies are common in young women post-Pap screening.
    • Biopsies may not be efficient for detecting serious disease, except in cases of severe Pap results.
    • Findings challenge current recommendations for less aggressive follow-up in young women.