Management of women with smears showing mild dyskaryosis

Responsiveness of the EQ‐5D to HADS‐identified anxiety and depression

“…The two principal management options are immediate referral to colposcopy (with treatment if indicated) and cytological surveillance (Papanicoulou smear tests at six‐monthly intervals) until the abnormality regresses or progresses. Until the early 1990s, immediate referral had been thought unjustified [20]. However, meta‐analysis suggested that women with low‐grade cytology were at risk of developing invasive cancer despite continued surveillance [21].…”

Management of low‐grade cervical abnormalities detected at screening: which method do women prefer?

“…Until the early 1990s, the wisdom of the surveillance approach was rarely questioned, immediate referral being deemed unjustified. 2 More recently, meta-analysis of available data has suggested that mildly dyskaryotic women are at high risk of developing invasive cancer despite cytological follow-up. 3 In comparison with immediate referral of women with any degree of dyskaryosis, surveillance has been shown to be subject to a higher default rate and to miss more cases of cervical intraepithelial neoplasia (CIN).…”

Management of mild dyskaryosis

“…EDITOR, - Flannelly and colleagues,1 Soutter and Fletcher,2 and Hammond3 all recommend immediate colposcopic referral for mild dyskaryosis. This policy would have significant implications for the colposcopy workload, and although immediate referral would reduce the volume of pre-colposcopic surveillance, colposcopy itself often leads to frequent follow up smears.…”