Home > WA Cervical Cytology Registry (CCR) Protocol of Actions for Follow-up and Reminder Letters

WA Cervical Cytology Registry (CCR) Protocol of Actions for Follow-up and Reminder Letters

Printable version of WA Cervical Cytology Registry (CCR) Protocol of Actions for Follow-up and Reminder Letters (PDF 228 KB)

Cytology Report Result of current smear Age History¹ Communication to practitioner Communication to woman

Normal <70 yrs²
No known history OR

Normal history within last 36 months OR

LSIL³ within last 36 months followed by a normal Pap smear at least 6 months after the LSIL³ and at least 6 months before the current normal smear
N/A Contact at 27 months

N/A Abnormal history within last 36 months,excluding LSIL³ followed by a normal Pap smear at least 6 months after the LSIL³ and at least 6 months before the current normal smear N/A Contact at 27 months

Unsatisfactory N/A N/A Contact at 6 months Contact at 9 months

Low-grade squamous intraepithelial lesion (LSIL), including possible LSIL ≥ 30 yrs² No known history within last 36 months Contact at 9 months Contact at 12 months

< 30 yrs² No known history within the last 36 months Contact at 18 months Contact at 24 months

N/A Any cytological abnormality without any subsequent histology result within the last 36 months Contact at 9 months Contact at 12 months

Prior negative cytology or with abnormality that has been confirmed histologically within the last 36 months Contact at 18 months Contact at 24 months

High-grade squamous intraepithelial lesion (HSIL), & all glandular cell abnormalities⁴ N/A N/A Contact at 6 months
Contact at 9 months

2nd Contact at 12 months (registered)

Malignant ⁵ N/A N/A Contact at 4 months
Contact at 6 months

2nd Contact at 9n months (registered)

Histology Report Result of biopsy Age History¹ Communication to practitioner Communication to woman

Unsatisfactory, Normal or Low-grade abnormality N/A N/A Contact at 18 months Contact at 24 months

High-grade abnormality or Malignant N/A N/A Contact at 12 months Contact at 18 months

1. Excludes all non-cervical abnormalities.
2. At time of letter.
3. Includes LSIL smear, LSIL biopsy, or Normal biopsy.
4. Includes possible HSIL, HSIL, HSIL with features suggestive of an invasive component, atypical endocervical cells of uncertain significance, atypical endometrial cells of uncertain significance, atypical glandular cells of uncertain significance – site unknown, possible AIS, AIS and AIS with features suggestive of invasion.
5. Includes squamous carcinoma, endocervical adenocarcinoma and other/non-cervical malignancies.

Cytology Report	Result of current smear	Age	History¹	Communication to practitioner	Communication to woman
Normal	<70 yrs²	No known history OR Normal history within last 36 months OR LSIL³ within last 36 months followed by a normal Pap smear at least 6 months after the LSIL³ and at least 6 months before the current normal smear	N/A	Contact at 27 months
N/A	Abnormal history within last 36 months,excluding LSIL³ followed by a normal Pap smear at least 6 months after the LSIL³ and at least 6 months before the current normal smear	N/A	Contact at 27 months
Unsatisfactory	N/A	N/A	Contact at 6 months	Contact at 9 months
Low-grade squamous intraepithelial lesion (LSIL), including possible LSIL	≥ 30 yrs²	No known history within last 36 months	Contact at 9 months	Contact at 12 months
< 30 yrs²	No known history within the last 36 months	Contact at 18 months	Contact at 24 months
N/A	Any cytological abnormality without any subsequent histology result within the last 36 months	Contact at 9 months	Contact at 12 months
Prior negative cytology or with abnormality that has been confirmed histologically within the last 36 months	Contact at 18 months	Contact at 24 months
High-grade squamous intraepithelial lesion (HSIL), & all glandular cell abnormalities⁴	N/A	N/A	Contact at 6 months	Contact at 9 months 2nd Contact at 12 months (registered)
Malignant ⁵	N/A	N/A	Contact at 4 months	Contact at 6 months 2nd Contact at 9n months (registered)
Histology Report	Result of biopsy	Age	History¹	Communication to practitioner	Communication to woman
Unsatisfactory, Normal or Low-grade abnormality	N/A	N/A	Contact at 18 months	Contact at 24 months
High-grade abnormality or Malignant	N/A	N/A	Contact at 12 months	Contact at 18 months

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