Teenage cervical screening in a high risk American population

Songlin ZhangFleurette Abreo


The new 2009 ACOG guideline for cervical cytology screening changed the starting age to 21 years regardless of the age of onset of sexual intercourse. However, many recent studies have shown a dramatic increase in the incidence of cervical epithelial abnormalities among adolescents within the past two decades. For this study, the reports of 156,342 cervical cytology were available of which 12,226 (7.8%) were from teenagers. A total of 192 teenagers with high grade intraepithelial lesion (HSIL) cervical cytology were identified. The ages ranged from 13 to 19 years with a mean of 17.7 years and a median of 18 years. Among them, 31.3% were pregnant, 12.0% were postpartum, and 13.5% were on oral contraceptive. Ninety-eight had prior cervical cytology. The teenagers had statistically significant higher detection rates of overall abnormal cervical cytology (23.6% vs. 6.6%, P = 0), with 15.4% vs. 3.2% (P = 0) of low grade intraepithelial lesion (LSIL) and 1.8% vs. 1.0% (P = 2.56 × 10(-13) ) of HSIL compared to women ≥20 years. The teenage group had the highest abnormal cytology among all age groups. The LSIL/HSIL ratio was 8.5:1 for teenagers and 3.1:1 for women ≥20 years. A total of 131 teenagers had cervical biopsies within 12 month...Continue Reading


Sep 1, 1996·Gynecologic Oncology·P D Wang, R S Lin
Aug 1, 1996·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·G C Kabat
Oct 9, 1998·Obstetrics and Gynecology·J MelnikowL P Howell
Mar 31, 2004·Obstetrics and Gynecology·Jason D WrightKaren R Pinto
Nov 9, 2004·Lancet·Anna-Barbara MoscickiTeresa M Darragh
Sep 5, 2006·Vaccine·D Maxwell Parkin, Freddie Bray
Aug 11, 2007·American Journal of Obstetrics and Gynecology·Kathleen MooreMichael A Gold
Sep 18, 2007·Journal of Pediatric and Adolescent Gynecology·Karin FuchsLori A Boardman
Nov 22, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·F BanoJ Norton
Nov 28, 2008·Obstetrics and Gynecology·American College of Obstetricians and Gynecologists
Mar 26, 2009·Journal of the National Cancer Institute·Nadia HowladerBrenda K Edwards
Nov 26, 2009·Obstetrics and Gynecology·Mona SaraiyaShalini Kulasingam
Feb 6, 2010·Obstetrics and Gynecology·ACOG Committee on Practice Bulletins--Gynecology
Feb 24, 2010·Annals of Oncology : Official Journal of the European Society for Medical Oncology·M ArbynL von Karsa
Jul 22, 2010·Cytopathology : Official Journal of the British Society for Clinical Cytology·K Sigurdsson
Nov 10, 2010·Cytopathology : Official Journal of the British Society for Clinical Cytology·A Herbert


Mar 2, 2013·Cancer Cytopathology·Ly T MaVicki J Schnadig
Jan 27, 2012·CytoJournal·Vinod B ShidhamMartha B Pitman

Methods Mentioned


Related Concepts

Related Feeds

Bowen's Disease

Bowen's disease is thought of as an easily-treatable early stage of skin cancer, characterized by red, scaly patches on the skin. Discover the latest research on Bowen's disease here.