victorian cervical cytology registry summary of follow-up and reminder protocol

Victorian cerVical cytology registry po Box 161, carlton south, victoria 3053 phone (03) 9250 0399 fax: (03) 9349 1818 email: registry@vccr.org website: www.vccr.org

victorian cervical cytology registry acknowledges

the support of the victorian government

cytology report subsequent Biopsy or colposcopy other circumstances time action by registryHigh-grade squamous abnormality or any glandular abnormality

Yes – 12 mths 1st Reminder to woman21 mths 2nd Reminder to woman

No – 4 mths Questionnaire to practitioner5.5 mths Telephone call to practitioner6 mths Letter to woman12 mths 1st Reminder to woman21 mths 2nd Reminder to woman

Low-grade squamous abnormality

Yes – 15 mths 1st Reminder to woman24 mths 2nd Reminder to woman

No Previous smear also abnormal or fluctuating low-grade abnormality

4 mths Questionnaire to practitioner6 mths Letter to woman12 mths 1st Reminder to woman21 mths 2nd Reminder to woman

Woman aged 30+ years and no negative cytology in preceding 36 mths

7 mths Questionnaire to practitioner8.5 mths Letter to woman15 mths 1st Reminder to woman24 mths 2nd Reminder to woman

All other women 13.5 mths Reminder to practitioner15 mths 1st Reminder to woman24 mths 2nd Reminder to woman

Negative – Previous smear abnormal or past history of biopsy proven CIN 2 or CIN 3 without HPV ‘test of cure’

15 mths 1st Reminder to woman24 mths 2nd Reminder to woman

All other women 27 mths 1st Reminder to woman36 mths 2nd Reminder to woman

Unsatisfactory Yes – 12 mths 1st Reminder to woman21 mths 2nd Reminder to woman

No – 6 mths Reminder to practitioner9 mths 1st Reminder to woman18 mths 2nd Reminder to woman

this protocol is adjusted in some unusual clinical circumstances (e.g. post-hysterectomy, after a diagnosis of cervical or endometrial malignancy, women aged 70+ years).

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