Cancer Screening at FMC

The USPSTF recommends:

• Cytology alone every 3 yrs for patients with a cervix ages 21-29

• HPV testing or co-testing every 5 yrs for patients with a cervix ages 30-65

The American Cancer Society recommends:

• HPV based testing or co-testing every 5 yrs for patients with a cervix ages 25-65

• Cytology every 3 yrs is an acceptable alternative if HPV-based testing is not available.

Our clinic does a hybrid model: 

• HPV only at age 21-24

• cotesting > 24

Dual stain: tests for 2 genes that predict proliferation/replication changes. Recommended if HRHPV other (with NIL or ASCUS cytology)  to guide next steps in ASCCP algorithm. You need a special order form to add on to pap (order is called CINTEC plus).