Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 270

The ACS, in collaboration with the American Society for Colposcopy and Cervical Pathology and the American Society for Clinical Pathology, as well as the NCCN, recommend cervical cancer screening for women to age 65, with an emphasis on the incorporation of HPV testing in addition to the Pap test to age 65.³⁵ Women 65 and over who have had three or more consecutive negative Pap tests or at least two consecutive negative HPV and Pap tests within the past 10 years, with the most recent test occurring in the past 5 years, should stop cervical cancer screening. Women who have had a hysterectomy for benign reasons can stop cervical cancer screening. The USPSTF recommends against screening for cervical cancer in women older than 65 who have had adequate prior screening and are not otherwise at high risk for cervical cancer.³⁸ The USPSTF notes that screening may be clinically indicated in older women with an inadequate or unknown screening history or at increased risk, such as women with a history of high‐grade precancerous lesions or cervical cancer, in utero exposure to diethylstilbestrol, or a compromised immune system.