{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T02:42:38Z","timestamp":1777948958243,"version":"3.51.4"},"reference-count":106,"publisher":"Archives of Pathology and Laboratory Medicine","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Context.<\/jats:italic>\n                    \u2014Recent guidelines recommend colposcopy for women with atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion (ASC-H).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Objective.<\/jats:italic>\n                    \u2014To determine whether adjunctive high-risk human papillomavirus (hrHPV) testing is useful for disease risk assessment in females with ASC-H Papanicolaou (Pap) test results.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Design.<\/jats:italic>\n                    \u2014High-risk HPV prevalence and histopathologic follow-up data on 1187 females with ASC-H ThinPrep Pap test (TPPT) and hrHPV test results were analyzed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results.<\/jats:italic>\n                    \u2014ASC-H was reported in 1646 (0.006%) of 277\u200a400 (270\u200a338 TPPT and 7062 conventional) Pap test results. The difference in ASC-H detection rates between TPPTs and conventional Pap smears was statistically significant (0.60% vs 0.38%;\n                    <jats:italic>P<\/jats:italic>\n                    = .02). High-risk HPV was detected in 589 (49.6%) of 1187 females with ASC-H TPPT and hrHPV testing. The hrHPV DNA\u2013positive rate in females younger than 40 years was 54.7%, significantly higher than the 36.5% in women 40 years and older. Among 505 females with histopathologic follow-up, cervical intraepithelial neoplasia 2\/3 was identified in 32.7% of hrHPV-positive females compared with 1.2% in hrHPV-negative females. The sensitivity, specificity, positive predictive value, and negative predictive value of ASC-H cytology in conjunction with hrHPV DNA testing results for detection of cervical intraepithelial neoplasia 2\/3 were 96.1% versus 100.0%, 54.0% versus 68.4%, 35.8% versus 20.8%, and 98.1% versus 100.0% in females younger than 40 years and women 40 years and older, respectively.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusions.<\/jats:italic>\n                    \u2014Our data suggest that reflex hrHPV testing is a highly useful option for women with ASC-H Pap tests. Females with ASC-H and negative hrHPV testing may be more efficiently managed by follow-up with regular Pap and hrHPV testing rather than universal colposcopy, especially for women 40 years and older.\n                  <\/jats:p>","DOI":"10.5858\/132.12.1874","type":"journal-article","created":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T00:21:54Z","timestamp":1613089314000},"page":"1874-1881","source":"Crossref","is-referenced-by-count":46,"title":["Adjunctive Human Papillomavirus DNA Testing Is a Useful Option in Some Clinical Settings for Disease Risk Assessment and Triage of Females With ASC-H Papanicolaou Test Results"],"prefix":"10.5858","volume":"132","author":[{"given":"Sudeshna","family":"Bandyopadhyay","sequence":"first","affiliation":[{"name":"From the Department of Pathology, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pa. Dr Bandyopadhyay is currently with the Department of Pathology, Harper University Hospital, Wayne State University, Detroit, Mich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Marshall","family":"Austin","sequence":"additional","affiliation":[{"name":"From the Department of Pathology, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pa. Dr Bandyopadhyay is currently with the Department of Pathology, Harper University Hospital, Wayne State University, Detroit, Mich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Dabbs","sequence":"additional","affiliation":[{"name":"From the Department of Pathology, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pa. Dr Bandyopadhyay is currently with the Department of Pathology, Harper University Hospital, Wayne State University, Detroit, Mich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengquan","family":"Zhao","sequence":"additional","affiliation":[{"name":"From the Department of Pathology, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pa. Dr Bandyopadhyay is currently with the Department of Pathology, Harper University Hospital, Wayne State University, Detroit, Mich"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3906","reference":[{"key":"i1543-2165-132-12-1874-b1","article-title":"The Bethesda System for Reporting Cervical Cytology. 2nd ed.","author":"Solomon, D.","unstructured":"Solomon, D. and R.Nayar. 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Atypical squamous cells-cannot exclude high grade squamous intraepithelial lesion (ASC-H): diagnostic reproducibility, HPV positive rates and clinical implications [abstract].Mod Pathol2005. 18:(suppl). 76A."},{"key":"i1543-2165-132-12-1874-b45","series-title":"Diagn Cytopathol","first-page":"155","article-title":"Effectiveness of the ThinPrep Imaging System: clinical experience in a low risk screening population.","volume":"36","author":"Papillo, J. L.","year":"2008","unstructured":"Papillo, J. L., T. L.St. John, and G.Lehman. Effectiveness of the ThinPrep Imaging System: clinical experience in a low risk screening population.Diagn Cytopathol2008. 36:155\u2013160."},{"key":"i1543-2165-132-12-1874-b46","series-title":"Gynecol Oncol","first-page":"439","article-title":"Shanxi Province cervical cancer screening study: a cross-sectional comparative trial of multiple techniques to detect cervical neoplasia.","volume":"83","author":"Belinsion, J.","year":"2001","unstructured":"Belinsion, J., Y. L.Quao, and R.Pretorius. et al. 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J.\n          \n          Litigation in gynecologic cytology.\n          Pathol Case Rev\n          2005. 10:106\u2013114."},{"key":"i1543-2165-132-12-1874-b49","series-title":"Arch Pathol Lab Med","first-page":"1525","article-title":"The value of monitoring human papillomavirus DNA results for Papanicolaou tests diagnosed as atypical squamous cells of undetermined significance.","volume":"131","author":"Tworek, J. A.","year":"2007","unstructured":"Tworek, J. A., B. A.Jones, S.Rabb, K. M.Clary, and M. K.Walsh. The value of monitoring human papillomavirus DNA results for Papanicolaou tests diagnosed as atypical squamous cells of undetermined significance.Arch Pathol Lab Med2007. 131:1525\u20131531."},{"key":"i1543-2165-132-12-1874-b50","series-title":"Gynecol Oncol","first-page":"702","article-title":"Age-specific detection of high risk HPV in cytologically normal, computer-imaged ThinPrep Pap samples.","volume":"104","author":"Cibas, E. S.","year":"2007","unstructured":"Cibas, E. S., X.Hong, C. P.Crum, and S.Feldman. Age-specific detection of high risk HPV in cytologically normal, computer-imaged ThinPrep Pap samples.Gynecol Oncol2007. 104:702\u2013706."},{"key":"i1543-2165-132-12-1874-b51","series-title":"J Natl Cancer Inst","first-page":"293","article-title":"ALTS Group. Comparison of three management strategies for patients with atypical squamous cells of undetermined significance: baseline result from a randomized trial.","volume":"93","author":"Solomon, D.","year":"2001","unstructured":"Solomon, D., M.Schiffman, and R.Tarone. for the. ALTS Group. Comparison of three management strategies for patients with atypical squamous cells of undetermined significance: baseline result from a randomized trial.J Natl Cancer Inst2001. 93:293\u2013299."},{"key":"i1543-2165-132-12-1874-b52","series-title":"Int J Cancer","first-page":"1095","article-title":"Overview of the European and North American studies on HPV testing in primary cervical cancer screening.","volume":"119","author":"Cuzick, J.","year":"2006","unstructured":"Cuzick, J., C.Clavel, and K. U.Petry. et al. Overview of the European and North American studies on HPV testing in primary cervical cancer screening.Int J Cancer2006. 119:1095\u20131101."},{"key":"i1543-2165-132-12-1874-b53","series-title":"Am J Clin Pathol","first-page":"58","article-title":"Enlarged squamous nuclei in cervical cytologic specimens from perimenopausal women (\u201cPM cells\u201d): a cause of ASC overdiagnosis.","volume":"124","author":"Cibas, E. S.","year":"2005","unstructured":"Cibas, E. S., T. J.Browne, M. H.Bassichis, and K. R.Lee. Enlarged squamous nuclei in cervical cytologic specimens from perimenopausal women (\u201cPM cells\u201d): a cause of ASC overdiagnosis.Am J Clin Pathol2005. 124:58\u201361."},{"key":"i1543-2165-132-12-1874-b1","article-title":"The Bethesda System for Reporting Cervical Cytology. 2nd ed.","author":"Solomon, D.","unstructured":"Solomon, D. and R.Nayar. The Bethesda System for Reporting Cervical Cytology. 2nd ed.New York, NY: Springer-Verlag Publishers; 2004."},{"key":"i1543-2165-132-12-1874-b2","series-title":"Cancer (Cytopathol)","first-page":"298","article-title":"Cervical cytology of atypical squamous cells cannot exclude high grade squamous intra-epithelial lesion (ASC-H): characteristics and histologic outcomes.","volume":"108","author":"Sherman, M. E.","year":"2006","unstructured":"Sherman, M. E., P. E.Castle, and D.Solomon. Cervical cytology of atypical squamous cells cannot exclude high grade squamous intra-epithelial lesion (ASC-H): characteristics and histologic outcomes.Cancer (Cytopathol)2006. 108:298\u2013305."},{"key":"i1543-2165-132-12-1874-b3","series-title":"JAMA","first-page":"2114","article-title":"The 2001 Bethesda System: terminology for reporting results of cervical cytology.","volume":"287","author":"Solomon, D.","year":"2002","unstructured":"Solomon, D., D.Davey, and R.Kurman. et al. The 2001 Bethesda System: terminology for reporting results of cervical cytology.JAMA2002. 287:2114\u20132119."},{"key":"i1543-2165-132-12-1874-b4","series-title":"Am J Clin Pathol","first-page":"548","article-title":"A follow-up study of atypical squamous cells in gynecologic cytology using conventional Papanicolaou smears and liquid-based preparations: the impact of the Bethesda System 2001.","volume":"127","author":"Lee, C. Y.","year":"2007","unstructured":"Lee, C. Y. and W. K.Ng. A follow-up study of atypical squamous cells in gynecologic cytology using conventional Papanicolaou smears and liquid-based preparations: the impact of the Bethesda System 2001.Am J Clin Pathol2007. 127:548\u2013555."},{"key":"i1543-2165-132-12-1874-b5","series-title":"Mod Pathol","first-page":"79A","article-title":"ASC-H correlation with reflex HC2 HPV test and biopsy findings [abstract].","volume":"18","author":"Taraif, S.","year":"2005","unstructured":"Taraif, S., M. T.Siddiqui, and A. M.West. et al. ASC-H correlation with reflex HC2 HPV test and biopsy findings [abstract].Mod Pathol2005. 18:79A."},{"key":"i1543-2165-132-12-1874-b6","series-title":"Am J Clin Pathol","first-page":"1010","article-title":"Interobserver variability in human papillomavirus test results in cervicovaginal cytologic specimens interpreted as atypical squamous cells.","volume":"128","author":"Geisinger, K. R.","year":"2007","unstructured":"Geisinger, K. R., C.Vrbin, D. M.Grzybicki, P.Wagner, A. J.Garvin, and S. S.Rabb. Interobserver variability in human papillomavirus test results in cervicovaginal cytologic specimens interpreted as atypical squamous cells.Am J Clin Pathol2007. 128:1010\u20131014."},{"key":"i1543-2165-132-12-1874-b7","series-title":"Diagn Cytopathol","first-page":"677","article-title":"Outcome of \u201catypical squamous cells\u201d in a cervical cytology screening program: implications for follow up in resource limited settings.","volume":"35","author":"Gupta, S.","year":"2007","unstructured":"Gupta, S., P.Sodhani, K. L.Chachra, V.Singh, and A.Sehgal. Outcome of \u201catypical squamous cells\u201d in a cervical cytology screening program: implications for follow up in resource limited settings.Diagn Cytopathol2007. 35:677\u2013690."},{"key":"i1543-2165-132-12-1874-b8","series-title":"J Low Genit Tract Dis","first-page":"86","article-title":"Is atypical squamous cells that cannot exclude high-grade squamous intraepithelial lesion clinically significant?","volume":"11","author":"McHale, M. T.","year":"2007","unstructured":"McHale, M. T., J.Soutjer, J. C.Elkas, B. J.Monk, and T. A.Harrison. Is atypical squamous cells that cannot exclude high-grade squamous intraepithelial lesion clinically significant?J Low Genit Tract Dis2007. 11:86\u201389."},{"key":"i1543-2165-132-12-1874-b9","series-title":"Diagn Cytopathol","first-page":"707","article-title":"Reflex high-risk human papilloma virus DNA test is useful in the triage of women with atypical squamous cells cannot exclude high-grade squamous intraepithelial lesion.","volume":"34","author":"Wu, H. H.","year":"2006","unstructured":"Wu, H. H., S. L.Allen, J. L.Kirkpatrick, and T. M.Elsheikh. Reflex high-risk human papilloma virus DNA test is useful in the triage of women with atypical squamous cells cannot exclude high-grade squamous intraepithelial lesion.Diagn Cytopathol2006. 34:707\u2013710."},{"key":"i1543-2165-132-12-1874-b10","series-title":"Diagn Cytopathol","first-page":"243","article-title":"Atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion: the practice experience of a hospital-based reference laboratory with this new Bethesda system diagnostic category.","volume":"32","author":"Duncan, L. D.","year":"2005","unstructured":"Duncan, L. D. and S. V.Jacob. Atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion: the practice experience of a hospital-based reference laboratory with this new Bethesda system diagnostic category.Diagn Cytopathol2005. 32:243\u2013246."},{"key":"i1543-2165-132-12-1874-b11","series-title":"Cancer (Cytopathol)","first-page":"32","article-title":"Atypical squamous cells, cannot exclude high grade squamous intraepithelial lesion: diagnostic performance, human papillomavirus testing and follow up results.","volume":"108","author":"Srodon, M.","year":"2005","unstructured":"Srodon, M., H.Parry Dilworth, and B. M.Ronnett. Atypical squamous cells, cannot exclude high grade squamous intraepithelial lesion: diagnostic performance, human papillomavirus testing and follow up results.Cancer (Cytopathol)2005. 108:32\u201338."},{"key":"i1543-2165-132-12-1874-b12","series-title":"Gynecol Oncol","first-page":"82","article-title":"The prevalence of HR-HPV DNA in ASC-US Pap smears: a military population study.","volume":"101","author":"Stany, M. P.","year":"2006","unstructured":"Stany, M. P., M. A.Bidus, and E. J.Reed. et al. The prevalence of HR-HPV DNA in ASC-US Pap smears: a military population study.Gynecol Oncol2006. 101:82\u201385."},{"key":"i1543-2165-132-12-1874-b13","series-title":"Am J Clin Pathol","first-page":"381","article-title":"Clinical significance of cytologic diagnosis of atypical squamous cells, cannot exclude high grade, in perimenopausal and postmenopausal women.","volume":"126","author":"Saad, R. S.","year":"2006","unstructured":"Saad, R. S., D. J.Dabbs, L.Kordunsky, A.Kanbour-Shakir, J. F.Silverman, and Y.Liu. Clinical significance of cytologic diagnosis of atypical squamous cells, cannot exclude high grade, in perimenopausal and postmenopausal women.Am J Clin Pathol2006. 126:381\u2013388."},{"key":"i1543-2165-132-12-1874-b14","series-title":"Diagn Cytopathol","first-page":"38","article-title":"Reporting of atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion (ASC-H) on cervical samples: is it significant?","volume":"29","author":"Selvaggi, S. M.","year":"2003","unstructured":"Selvaggi, S. M.\n          \n          Reporting of atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion (ASC-H) on cervical samples: is it significant?\n          Diagn Cytopathol\n          2003. 29:38\u201341."},{"key":"i1543-2165-132-12-1874-b15","series-title":"Cytojournal","first-page":"7","article-title":"Should LSIL with ASC-H (LSIL-H) in cervical smears be an independent category?: a study on Surepath specimens with review of literature.","volume":"4","author":"Shidham, V. B.","year":"2007","unstructured":"Shidham, V. B., N.Kumar, R.Narayan, and G. L.Brotzman. Should LSIL with ASC-H (LSIL-H) in cervical smears be an independent category?: a study on Surepath specimens with review of literature.Cytojournal2007. 4:7."},{"key":"i1543-2165-132-12-1874-b16","series-title":"J Obstet Gynaecol Can","first-page":"1095","article-title":"Atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion (ASC-H): a result not to be ignored.","volume":"28","author":"Barreth, D.","year":"2006","unstructured":"Barreth, D., A.Schepansky, V.Capstick, G.Johnson, H.Steed, and W.Faught. Atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion (ASC-H): a result not to be ignored.J Obstet Gynaecol Can2006. 28:1095\u20131098."},{"key":"i1543-2165-132-12-1874-b17","series-title":"Arch Pathol Lab Med","first-page":"1224","article-title":"Bethesda 2001 implementation and reporting rates: 2003 practices of participants in the College of American Pathologists interlaboratory comparison program in cervicovaginal cytology.","volume":"128","author":"Davey, D. D.","year":"2004","unstructured":"Davey, D. D., M. H.Neal, D. C.Wilbur, T. J.Colgan, P. E.Styer, and D. R.Mody. Bethesda 2001 implementation and reporting rates: 2003 practices of participants in the College of American Pathologists interlaboratory comparison program in cervicovaginal cytology.Arch Pathol Lab Med2004. 128:1224\u20131229."},{"key":"i1543-2165-132-12-1874-b18","series-title":"Am J Clin Pathol","first-page":"386","article-title":"Qualification of ASCUS: a comparison of equivocal LSIL and equivocal HSIL cervical cytology in the ASCUS\/ LSIL Triage Study.","volume":"116","author":"Sherman, M. E.","year":"2001","unstructured":"Sherman, M. E., D.Solomon, and M.Schiffman. Qualification of ASCUS: a comparison of equivocal LSIL and equivocal HSIL cervical cytology in the ASCUS\/ LSIL Triage Study.Am J Clin Pathol2001. 116:386\u2013394."},{"key":"i1543-2165-132-12-1874-b19","series-title":"Cancer (CytoPathol)","first-page":"457","article-title":"Should women with atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion, receive reflex human papillomavirus-DNA testing?","volume":"105","author":"Liman, A. K.","year":"2005","unstructured":"Liman, A. K., E. J.Giampolli, and T. A.Bonfiglio. Should women with atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion, receive reflex human papillomavirus-DNA testing?Cancer (CytoPathol)2005. 105:457\u2013460."},{"key":"i1543-2165-132-12-1874-b20","series-title":"Diagn Cytopathol","first-page":"1","article-title":"Atypical squamous cells, cannot exclude high grade intraepithelial lesion (ASC-H): does HPV matter?","volume":"35","author":"Reid-Nicholson, M.","year":"2007","unstructured":"Reid-Nicholson, M., R. M.Gatscha, E. R.Riedel, and O.Lin. Atypical squamous cells, cannot exclude high grade intraepithelial lesion (ASC-H): does HPV matter?Diagn Cytopathol2007. 35:1\u20135."},{"key":"i1543-2165-132-12-1874-b21","series-title":"Diagn Cytopathol","first-page":"426","article-title":"Prevalence and typing of HPV DNA by Hybrid Capture II in women with ASCUS, ASC-H, LSIL and AGC on ThinPrep Pap Tests.","volume":"30","author":"Rowe, L. R.","year":"2004","unstructured":"Rowe, L. R., W.Aldeen, and J. S.Bentz. Prevalence and typing of HPV DNA by Hybrid Capture II in women with ASCUS, ASC-H, LSIL and AGC on ThinPrep Pap Tests.Diagn Cytopathol2004. 30:426\u2013432."},{"key":"i1543-2165-132-12-1874-b22","series-title":"Cytopathol","first-page":"22","article-title":"HPV triage of women with atypical squamous cells of undetermined significance: a 3-years experience in an Italian organized programme.","volume":"16","author":"Palma, P. D.","year":"2005","unstructured":"Palma, P. D., A.Pojer, and S.Girlando. HPV triage of women with atypical squamous cells of undetermined significance: a 3-years experience in an Italian organized programme.Cytopathol2005. 16:22\u201326."},{"key":"i1543-2165-132-12-1874-b23","series-title":"Cancer (Cytopathol)","first-page":"1054","article-title":"Distribution of human papillomavirus types in ThinPrep Papanicolaou tests classified according to the Bethesda 2001 terminology and correlations with patient age and biopsy outcomes.","volume":"106","author":"Evans, M. F.","year":"2006","unstructured":"Evans, M. F., C. S-C.Adamson, J. L.Papillo, T. L.St. John, G.Leiman, and K.Cooper. Distribution of human papillomavirus types in ThinPrep Papanicolaou tests classified according to the Bethesda 2001 terminology and correlations with patient age and biopsy outcomes.Cancer (Cytopathol)2006. 106:1054\u20131064."},{"key":"i1543-2165-132-12-1874-b24","series-title":"Cytojournal","first-page":"14","article-title":"ASC-H in Pap test-definitive categorization of cytomorphological spectrum.","volume":"3","author":"Chivukula, M.","year":"2006","unstructured":"Chivukula, M. and V. B.Shidham. ASC-H in Pap test-definitive categorization of cytomorphological spectrum.Cytojournal2006. 3:14."},{"key":"i1543-2165-132-12-1874-b25","series-title":"Am J Clin Pathol","first-page":"398","article-title":"\u201cLow-grade squamous intraepithelial lesion, cannot exclude high-grade squamous intraepithelial lesion\u201d is a distinct cytologic category.","volume":"128","author":"Owens, C. L.","year":"2007","unstructured":"Owens, C. L., D. R.Moats, F. H.Burroughs, and K. S.Gustafson. \u201cLow-grade squamous intraepithelial lesion, cannot exclude high-grade squamous intraepithelial lesion\u201d is a distinct cytologic category.Am J Clin Pathol2007. 128:398\u2013403."},{"key":"i1543-2165-132-12-1874-b26","series-title":"Aust N Z J Obstet Gynaecol","first-page":"141","article-title":"High-risk human papillomavirus DNA testing and high grade cervical intraepithelial lesions.","volume":"47","author":"You, K.","year":"2007","unstructured":"You, K., X.Liang, F.Qin, Y.Guo, and L.Geng. High-risk human papillomavirus DNA testing and high grade cervical intraepithelial lesions.Aust N Z J Obstet Gynaecol2007. 47:141\u2013144."},{"key":"i1543-2165-132-12-1874-b27","series-title":"Cancer (Cytopathol)","first-page":"477","article-title":"Papanicolaou test interpretations of \u201catypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion.\u201d.","volume":"111","author":"Bonvicino, A.","year":"2007","unstructured":"Bonvicino, A., S.Huitron, and O.Fadare. Papanicolaou test interpretations of \u201catypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion.\u201d.Cancer (Cytopathol)2007. 111:477\u2013481."},{"key":"i1543-2165-132-12-1874-b28","series-title":"Acta Cytol","first-page":"672","article-title":"Atypical squamous cells, cannot excluded HSIL (ASC-H): the new term on the block: a year in review [abstract].","volume":"48","author":"El-Fakharany, M.","year":"2004","unstructured":"El-Fakharany, M., B.Al-Khafaji, and M. S.El-Dean. Atypical squamous cells, cannot excluded HSIL (ASC-H): the new term on the block: a year in review [abstract].Acta Cytol2004. 48:672."},{"key":"i1543-2165-132-12-1874-b29","series-title":"Acta Cytol","first-page":"672","article-title":"Atypical squamous cells, cannot exclude high grade squamous intraepithelial lesion (ASC-H): correlation of morphologic features, reflex HPV testing and biopsy follow-up [abstract].","volume":"48","author":"Hoschar, A.","year":"2004","unstructured":"Hoschar, A., I.Kink, and A. E.Dawson. Atypical squamous cells, cannot exclude high grade squamous intraepithelial lesion (ASC-H): correlation of morphologic features, reflex HPV testing and biopsy follow-up [abstract].Acta Cytol2004. 48:672."},{"key":"i1543-2165-132-12-1874-b30","series-title":"Cancer (Cytopathol)","first-page":"342","article-title":"Comparison of HPV and follow-up data for ASC-H before and after implementation of the ThinPrep imaging system [abstract].","volume":"108","author":"O'Brien, D.","year":"2006","unstructured":"O'Brien, D., J.Brainard, L.Chen, A.Prok, and C.Booth. Comparison of HPV and follow-up data for ASC-H before and after implementation of the ThinPrep imaging system [abstract].Cancer (Cytopathol)2006. 108:(suppl). 342."},{"key":"i1543-2165-132-12-1874-b31","series-title":"Mod Pathol","first-page":"71A","article-title":"Utilization of ASC-H, LSIL, cannot exclude HSIL (LSIL-H) and HSIL terminology following implementation of the ThinPrep imaging system [abstract].","volume":"20","author":"Howard, M. T.","year":"2007","unstructured":"Howard, M. T., D. W.Cohen, D. L.Underwood, D. A.Deeds, and C. N.Booth. Utilization of ASC-H, LSIL, cannot exclude HSIL (LSIL-H) and HSIL terminology following implementation of the ThinPrep imaging system [abstract].Mod Pathol2007. 20:(suppl 2). 71A."},{"key":"i1543-2165-132-12-1874-b32","series-title":"Cancer (Cytopathol)","first-page":"360","article-title":"Atypical squamous cells, cannot exclude HSIL (ASC-H); Is Digene Hybrid Capture a useful ancillary test? [abstract].","volume":"108","author":"Christal, J. L.","year":"2006","unstructured":"Christal, J. L., D.Avery, and P. T.Valente. Atypical squamous cells, cannot exclude HSIL (ASC-H); Is Digene Hybrid Capture a useful ancillary test? [abstract].Cancer (Cytopathol)2006. 108:(suppl). 360."},{"key":"i1543-2165-132-12-1874-b33","series-title":"Cancer (Cytopathol)","first-page":"355","article-title":"Potential role of age-directed human papillomavirus reflex testing in managing patients with atypical squamous cells, cannot exclude high grade squamous intraepithelial lesion on cervical Pap smears [abstract].","volume":"111","author":"Nguyen, C.","year":"2007","unstructured":"Nguyen, C., Z.Parveen, P.Pragasam, S.Masood, and F.Zhang. Potential role of age-directed human papillomavirus reflex testing in managing patients with atypical squamous cells, cannot exclude high grade squamous intraepithelial lesion on cervical Pap smears [abstract].Cancer (Cytopathol)2007. 111:(suppl). 355."},{"key":"i1543-2165-132-12-1874-b34","series-title":"Cancer (Cytopathol)","first-page":"388","article-title":"Atypical squamous cells, cannot exclude HSIL (ASC-H): follow-up biopsy and HPV DNA testing [abstract].","volume":"111","author":"Sullivan, P. S.","year":"2007","unstructured":"Sullivan, P. S., T.Vu, S. S.Lim, S. L.Hirschowitz, and J.Rao. Atypical squamous cells, cannot exclude HSIL (ASC-H): follow-up biopsy and HPV DNA testing [abstract].Cancer (Cytopathol)2007. 111:(suppl). 388\u2013389."},{"key":"i1543-2165-132-12-1874-b35","series-title":"JAMA","first-page":"2120","article-title":"2001 Consensus guidelines for the management of women with cervical cytological abnormalities.","volume":"287","author":"Wright, T. C.","year":"2002","unstructured":"Wright, T. C., J. T.Cox, L. S.Massad, L. B.Twiggs, and E. J.Wilkinson. 2001 Consensus guidelines for the management of women with cervical cytological abnormalities.JAMA2002. 287:2120\u20132129."},{"key":"i1543-2165-132-12-1874-b36","series-title":"Am J Obstet Gynecol","first-page":"346","article-title":"consensus guidelines for the management of women with abnormal cervical cancer screening tests.","volume":"197","author":"Wright, T. C.","year":"2006","unstructured":"Wright, T. C., L. S.Massad, C. J.Dunton, M.Spitzer, E. J.Wilkinson, and D.Solomon. 2006. consensus guidelines for the management of women with abnormal cervical cancer screening tests.Am J Obstet Gynecol2007. 197:346\u2013355."},{"key":"i1543-2165-132-12-1874-b37","series-title":"Acta Cytol","first-page":"115","article-title":"The Bethesda System for reporting cervical\/vaginal cytologic diagnoses.","volume":"37","year":"1993","unstructured":"The Bethesda System for reporting cervical\/vaginal cytologic diagnoses.\n          Acta Cytol\n          1993. 37:115\u2013124."},{"key":"i1543-2165-132-12-1874-b38","series-title":"CA Cancer J Clin","first-page":"105","article-title":"Cervical cancer screening rates in the United States and the potential impact of implementation of screening guidelines.","volume":"57","author":"Solomon, D.","year":"2007","unstructured":"Solomon, D., N.Breen, and T.McNeel. 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