What does PAP with HR HPV ASCUS reflex mean?
A finding of abnormal cells in the tissue that lines the outer part of the cervix. ASCUS is the most common abnormal finding in a Pap test. It may be a sign of infection with certain types of human papillomavirus (HPV) or other types of infection, such as a yeast infection.
What does HPV HR positive mean?
A positive test result means that you have a type of high-risk HPV that’s linked to cervical cancer. It doesn’t mean that you have cervical cancer now, but it’s a warning sign that cervical cancer could develop in the future.
What strain of HPV is ASCUS?
HPV DNA typing for better management of women With ASCUS is important and this study showed HPV type 16 is the most prevalent type in ASCUS patients.
Is ASCUS high risk HPV?
Atypical squamous cells of undetermined significance (ASCUS) cells, occurring in organized cytological screening, may be either high-risk human papillomavirus (HPV) positive or negative.
Should I be worried if I have ASC-US?
If abnormal cells persist or the condition worsens, referral to specialist clinic for colposcopy will be required. Since the progression from severe deterioration of cervical cells to cancer generally takes about 5 to 10 years, the condition does not pose any immediate threat, please do not worry excessively.
Can ASC H be nothing?
ASC-H. ASC-H stands for atypical squamous cells, cannot exclude HSIL. It basically means that the healthcare providers are having trouble making a diagnosis.
Does HPV ASCUS go away?
CONCLUSION: How to treat an ASCUS (Atypical Squamous Cells of Undetermined Significance) Pap test has been a major source of anxiety for patients and physicians. Most mild cervical abnormalities go away without treatment.
When should I repeat Pap if ASCUS and negative HPV?
HPV testing (high risk types) is the preferred method for triage of ASCUS results using liquid cytology for ages 25-65. If 21-24 years, repeat PAP in 12 months. Screening practice should not change on the basis of HPV vaccination.
Can ASC-H be nothing?
Is ASC H precancer?
ASC-H primarily affects the squamous metaplastic cells. The cells display abnormal changes, but they cannot be definitively diagnosed as a high-grade squamous lesion. Patients with ASC-H are at higher risk of developing a precancerous lesion.
What percentage of ASCUS is HPV?
In the initial examination, 39.5 percent of the women had positive HPV results. The sensitivity of the HPV result for identifying HSIL or cancer was 89.2 percent, and the specificity was 64.1 percent.
Should I be worried about ASC-H?
It means there are abnormal squamous cells in the tissue that lines the outer part of the cervix. ASC-H may be a sign of a high-grade squamous intraepithelial lesion (HSIL), which may become cervical cancer if untreated. More testing may be needed.
Is ASC-US the same as ASC-H?
There are two subtypes of ASC: Atypical Squamous Cells of Undetermined Significance (ASC-US) Atypical Squamous Cells, Cannot Rule Out High Grade Squamous Intra-epithelial Lesion (ASC-H). For a diagnosis of ASC-US, a Pap smear has to have a specific type of abnormal cells (see Illustration 1).
Should I worry about ASC-H?
ASC-H may be a sign of a high-grade squamous intraepithelial lesion (HSIL), which may become cervical cancer if untreated. More testing may be needed. Also called atypical squamous cells, cannot exclude a high-grade lesion.
What is follow up for ASCUS with negative HPV?
If colposcopy is negative, follow-up includes repeat cytology at six and 12 months, or HPV testing at 12 months, with colposcopic reevaluation if HPV testing is positive or cytology is ASC-US or greater5,6 (Figure 26).