BMJ 1994;309:412-3 (6 August)

Letters

Management of mild dyskaryosis

EDITOR, - Flannelly and colleagues,1 Soutter and Fletcher,2 and Hammond3 all recommend immediate colposcopic referral for mild dyskaryosis. This policy would have significant implications for the colposcopy workload, and although immediate referral would reduce the volume of pre-colposcopic surveillance, colposcopy itself often leads to frequent follow up smears. Selective referral according to smoking habit is an increasing possibility and might have public health benefit. In any event, continuing education about cervical screening and the importance of not defaulting is vital. Most cases of cervical cancer occur in those who are unscreened or screened infrequently.4


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in the Full Text
 Guidelines for colposcopic management of mildly abnormal results of cervical cytology (CIN =cervical intraepithelial neoplasia)

If immediate referral for mild dyskaryosis is adopted, colposcopy must seek to detect and treat any significant abnormality (cervical intraepithelial neoplasia grade II or worse), avoid overtreating very mild lesions, and where possible expedite return to cytological surveillance. The correct management . . . [Full text of this article]


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Relevant Article

Management of women with mild and moderate cervical dyskaryosis
G Flannelly, D Anderson, H C Kitchener, E M F Mann, M Campbell, P Fisher, F Walker, and A A Templeton
BMJ 1994 308: 1399-1403. [Abstract] [Full Text]

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