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Additional Testing
The ThinPrep® Pap Test is approved by the U.S. Food and Drug Administration (FDA) as a platform for HPV DNA testing
directly from the ThinPrep collection vial. A study conducted by the National Cancer
Institute concluded that HPV testing is a viable method for determining which patients with
borderline Pap results are at highest risk for developing cancer. The ThinPrep method is
also approved for Chlamydia trachomatis (CT) and Neisseria gonorrhea (NG) testing directly
from the ThinPrep Pap Test collection vial using Roche Diagnostics Corporation's COBAS
AMPLICOR™ automated system and Gen-Probe's APTIMA COMBO 2® CT/NG assay.
ASC-US Management Strategies1-4
The preferred approach when liquid-based cytology is used. 2-4
ASC-US Management
1 Solomon D, Schiffman M, Tarone R. Comparison of three management strategies for
patients with atypical squamous cells of undetermined significance: Baseline results from a
randomized trial. J Natl Cancer Inst. 2001;93:293-299.
2 Richart R (moderator), Cox J, Twiggs L, Wilkinson E, Wright T. A sea change in
diagnosing and managing HPV and cervical cancer - Part 1 (symposium). Contemporary Ob/Gyn.
2002;47:42-44, 47-48, 51-52, 54, 56.
3 Wright T, Cox J, Massad LS, Twiggs L, Wilkinson E. 2001 consensus guidelines for
the management of women with cervical abnormalities. JAMA. 2002;287:2120-2129.
4 Manos MM, et al. Identifying women with cervical neoplasia: Using human
papillomavirus DNA testing for equivocal Papanicolaou results. JAMA. 1999;281:1605-1610. For
additional information on ASC-US management, please see ASCCP "Algorithms from the Consensus
Guidelines for the Management of Women with Cervical Cytological Abnormalities."
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