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Management of women with smears showing mild dyskaryosis

BMJ 1994; 308 doi: (Published 28 May 1994) Cite this as: BMJ 1994;308:1383
  1. R Hammond

    Undoubtedly, women with smears showing severe dyskaryosis should have immediate colposcopy; many doctors believe that those with moderate dyskaryosis should be treated in the same way. But what to do about mild dyskaryosis is much less clear cut, and, indeed, the diagnosis is very subjective. According to the NHS cervical screening programme's guidelines, no justification exists for immediate colposcopy for mild dyskaryosis, but the programme wanted further research to determine whether cytological surveillance was as safe and effective as colposcopy.1 Such research is being conducted prospectively by the Aberdeen birthright project and is reported in this week's journal (p 1399).2

    The arguments in favour of immediate colposcopy are that it allows early assessment and diagnosis - useful, given the well documented association between mild cytological abnormalities and high grade cervical intraepithelial neoplasia.3,4 In this week's journal, Soutter and Fletcher report that …

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