Pap Smear and HPV Testing
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The Pap smear for cervical cancer screening was first introduced in the 1940s. Since then, the incidence of cervical cancer in the USA has decreased from 14/100,000 to 7.4/100,000 in 2018 (NIH National Cancer Institute. www.seer.cancer.gov). The addition of high-risk human papilloma virus DNA testing (HPV testing) has improved sensitivity for cervical cancer screening. The procedure for Pap smear and HPV testing is discussed, as well as screening recommendations and management guidelines.