Case Studies

A 64 year-old G0 postmenopausal woman presents to the office of her new PCP for follow-up after recently moving to the area. She does not have her records. She relates a history of regular and negative cervical cancer screening until she had her first cotest 2 years ago indicating HPV positive, cytology negative results.

29 year-old G3P0020 at 15 weeks 5 days gestation presents to your office for further discussion and management of recent cervical cancer screening results showing Atypical Squamous Cells – Cannot Exclude High Grade Squamous Intraepithelial Lesion (ASC-H). Review of her records indicates adequate screening with no history of abnormal cervical cancer screening. Her pregnancy has otherwise been uncomplicated.

A 32-year-old G4P4 presents with a cervical cytology result of HSIL. High risk-HPV testing was positive for non-16/18 subtypes. She has had regular cervical cancer screening and denies history of any abnormalities. The patient is referred for colposcopy. There are no atypical vessels on green filter examination. Colposcopy is performed after application of 3-5% acetic acid.

A 35-year-old G2P2002 presents for a routine gynecologic exam. She has regular menses and her last period was 2 weeks prior to the visit. She is using OCPs for contraception. Her last cervical cancer screening was 5 years ago. Cotesting was negative at that time. She denies previous abnormalities. Cervical cancer screening is performed at this visit. Cytology returns as high grade squamous intraepithelial lesion (HSIL). HPV testing is positive for type 16.

A 41 year-old woman, G2P2002, presents for a gynecologic health maintenance exam. She has regular menses with LMP 2 weeks ago. She is status post bilateral tubal ligation for contraception. She has no prior history of cervical dysplasia, though she admits to being infrequently screened previously. She reports no new sexual partners for the past 12 years...