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Clinical management of abnormal Pap tests: differences between US and Korean guidelines

Authors
  • Won, Seyeon
  • Kim, Mi Kyoung
  • Seong, Seok Ju
Type
Published Article
Journal
Journal of Pathology and Translational Medicine
Publisher
The Korean Society of Pathologists and the Korean Society for Cytopathology
Publication Date
Apr 15, 2020
Volume
54
Issue
3
Pages
213–219
Identifiers
DOI: 10.4132/jptm.2020.03.11
PMID: 32460475
PMCID: PMC7253959
Source
PubMed Central
Keywords
License
Unknown

Abstract

Cervical cancer has been the most common gynecological cancer in Korea but has become a preventable disease with regular screening and proper vaccination. If regular screening is provided, cervical cancer does not progress to more than carcinoma in situ, due to its comparatively long precancerous duration (years to decades). In 2012, the American Society for Colposcopy and Cervical Pathology published guidelines to aid clinicians in managing women with abnormal Papanicolaou (Pap) tests, and they soon became the standard in the United States. Not long thereafter, the Korean Society of Gynecologic Oncology and the Korean Society for Cytopathology published practical guidelines to reflect the specific situation in Korea. The detailed screening guidelines and management options in the case of abnormal Pap test results are sometimes the same and sometimes different in the United States and Korean guidelines. In this article, we summarize the differences between the United States and Korean guidelines in order to facilitate physicians’ proper management of abnormal Pap test results.

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