Cervical cancer screening
Follow-up after cone-biopsy
-Automatic translation
Women need to be followed up as those who have undergone treatment for abnormal cells are at 2-5 times increased risk of cervical cancer.
The first follow-up after cone biopsy in all age groups is after 6 months. Both cytology and HPV testing are performed.
Results and next steps
Radical cone biopsy:
If the pap smear is normal and hr-HPV is negative the woman will be subjected to regular screening.
Non-radical cone biopsy:
If the pap smear is normal and hr-HPV is negative, both pap smear and HPV testing are repeated after 6 months.
If the pap smear is negative and hr-HPV is negative, the woman goes back to regular screening.
If hr-HPV is positive but no abnormal cells, a new sample is taken after 12 months and then every 12 months until the hr-HPV sample is negative and the cells are normal.
If hr-HPV is negative and ASCUS/LSIL, a new sample is taken after 12 months and then every 12 months until the sample is hr-HPV negative and cytology is normal.
If hr-HPV is positive and abnormal cells, a colposcopy is recommended.
If hr-HPV is negative and ASCH, HSIL, AGC, AIS, a colposcopy is recommended.
If the colposcopy in points 4 and 5 is normal, a follow-up sample every 6 months is recommended until the sample is hr-HPV negative and the cytology sample is normal.
If the colposcopy in points 4 and 5 is abnormal, a flow chart for colposcopy is indicated.
Regardless of surgical edges:
If the sample is positive for hr-HPV and abnormal cells or ASCH, HSIL, AGC, AIS, or cancer, 6 months after a cone biopsy, regardless of surgical edge a colposcopy is recommended.
If the colposcopy is normal a new sample after 6 months is recommended for both cytology and HPV testing if normal (see flow chart).
If the colposcopy is abnormal, see the colposcopy flow chart.
Service provider
Directorate of HealthRelated organization
Primary Health Care of the Capital Area