2022 ASCCP Scientific Meeting Program

It is important for healthcare providers to expand their knowledge and improve care for women with a variety of vulvovaginal conditions. Although they are common, vulvovaginal disorders are also frequently misdiagnosed. It is crucial for providers, with a special interest in lower genital tract disease, to increase their knowledge of these diagnoses. Participants will test their knowledge of some common and uncommon conditions of the vulva and the vagina utilizing a case-based presentation. The audience will be given questions throughout each case presentation for audience interaction. An emphasis on treatments for the conditions will be present throughout this section of the course.

Course Director: Hope K. Haefner, MD

Faculty: Natalie Saunders, MD
Cynthia A. Rasmussen, MD
Kathryn C. Welch, MD

The Loop Electrosurgical Excision Procedure (LEEP) course best serves licensed healthcare professionals who have an intermediate to advanced level of medical knowledge and colposcopic practice. The course is designed for those who have previously taken a basic colposcopy course and/or have completed a colposcopy rotation in residency or training, and now desire the opportunity for in-depth learning in LEEP. Ideal for those interested in offering a wider range of treatment to the women in their communities, the LEEP course will provide vital information on electrosurgical physics and safety, procedure techniques, and the necessary equipment and supplies. After successfully completing the course, participants are expected to partake in a hands-on mentored performance training as required for credentialing in new procedures by their home institutions, as this course alone will not prepare participants for independent practice. Participants will likely be those who have a sufficient patient volume to ensure that LEEP skills, once mastered, will be maintained.

Course Director: Alan G. Waxman, MD, MPH

Faculty: Michael Gold, MD
E.J. Mayeaux, Jr., MD

The Vulvar Surgery Skills Workshops are designed for participants looking to establish or enhance their skills on surgical techniques needed to perform a variety of vulvar procedures. Led directly by subject matter experts, this hands-on course will be offered in two levels, a basic course and an advanced course. Participants will choose which skill level suits them best. The basic course will cover biopsy techniques, excision and closure techniques, and other office procedures. The advanced course will cover a variety of operating room procedures such as Bartholin cyst surgeries, Skene duct surgeries, lysis of vaginal adhesions, etc., with particular emphasis on a hands on flap workshop.

Course Director: E.J. Mayeaux, Jr., MD

Faculty: Cynthia A. Rasmussen, MD

The Vulvar Surgery Skills Workshops are designed for participants looking to establish or enhance their skills on surgical techniques needed to perform a variety of vulvar procedures. Led directly by subject matter experts, this hands-on course will be offered in two levels, a basic course and an advanced course. Participants will choose which skill level suits them best. The basic course will cover biopsy techniques, excision and closure techniques, and other office procedures. The advanced course will cover a variety of operating room procedures such as Bartholin cyst surgeries, Skene duct surgeries, lysis of vaginal adhesions, etc., with particular emphasis on a hands on flap workshop.

Course Director: Hope K. Haefner, MD

Faculty: Colleen K. Stockdale, MD, MS
Kathryn C. Welch, MD

Moderator: Levi Downs, Jr., MD, MS

Solutions to the Challenges Around Disparities in Outcomes in Cervical Cancer
Isabel C. Scarinci, PhD, MPH

Implicit Bias' Impact on Disparities in Cervical Cancer Screening and Outcomes
John Farley, MD

HPV and Dysplasia in the American Indian/Alaska Native Population: Persistent Disparities in an Invisible Population
Amanda Bruegl, MD, OHSU

Barriers to Cervical Cancer Care
Amanda Klasing, Human Rights Watch and Olivia Coley- Pearson, Southern Rural Black Women's Initiative

Moderator: Nicolas Wentzensen, MD, PhD

Dual Stain Cytology for Triage of HPV- positive Women
Nicolas Wentzensen, MD, PhD

Limited and Extended Genotyping
Mark H. Einstein, MD, MSc

The Promise of Methylation as a Biomarker for Cervical Cancer Screening and Management
Megan A. Clarke, PhD, MHS

Automated Visual Evaluation (recording)
Mark S. Schiffman, MD, MPH

Moderator: Colleen K. Stockdale, MD, MS

The Potential of Vaginal Live Biotherapeutic Products as Adjuvant Treatment for Cervical Dysplasia
Craig R. Cohen, MD

Anal Microbiome and PHV-related Anal Disease
Joel M. Palefsky, MD

Genitourinary Syndrome of Menopause (GSM)
Peter F. Schnatz, DO

Moderator: Michelle J. Khan, MD, MPH, Department of Obstetrics and Gynecology, Stanford University


The Potential for HPV Self-Sampling to increase Cervical Cancer Screening Access and Uptake
Rachel L. Winer, PhD, MPH

Organ-based Screening Recommendations in Sexual and Gender Minority Populations
Dominique Jodry, MD

Cervical Cancer and Women with Criminal Legal System Involvement
Megha Ramaswamy, PhD, MPH

Moderator: David P. Chelmow, MD

Keynote Speaker: Isabel Scarinci, PhD, MPH

HPV Vaccination of PreEP  (pre-exposure prophylaxis) users
Christopher Wheldon, PhD

Using Computable Guidelines to Improve Outcomes Equitably for Cervical Cancer Screening and Management 
Mona Saralya, MD, MPH

The Performance of Artificial Intelligence in Cervical Colposcopy: A Retrospective Data Analysis (recording)
Yucong Li, MD, Department of Gynecological Oncology, Chongqing University Cancer Hospital

Three Years After See and Treat Approach Implementation San Borja Clinical Hospital Santiago of Chile (recording)
Jose Ibacache, MD

Moderator: Lisa Flowers, MD, MPH

Impact of HPV Vaccines
Christine Conageski, MD, MSc

Preventing Anal Cancer: ANCHOR Study Results
Joel M. Palefsky, MD

HIRA Procedure and Standards
Michelle J. Khan, MD, MPH

Epidemiology of Anal Cancer
Elizabeth A. Stier, MD

Treatment Options
Lisa Flowers, MD, MPH

Moderator: Shuk On Annie Leung, MD

As an inter-professional team of healthcare providers (e.g., physicians, dentist, nurse, patient navigator, direct of non-profit patient advocacy group) who serve different types of populations, we developed an interactive and adoptive flashcard learning platform which has been demonstrated to improve vaccine knowledge and recommendations. Panelists will share their experience in developing this tool and how they have addressed the unique challenge in their own practice. Using this as an example, the session will provide an opportunity for attendees to brainstorm needs of providers in their own practice and innovative ways to provide continued education with the panelists. 

Panel Discussion : Nancy Pena, OPN-CG, CMI, BS
Sarah Feldman, MD, MPH
Alessandro Villa, DDS, PhD, MPH
Eileen Duffey-Lind, RN, MSN, CPNP

Moderator: Amy Wiser, MD

Cost Conscious Colposcopy 
Ian Cook, MD

Rates of Under-screening, Over-screening, and Guidelines-Adherent Screening for cervical cancer in National Cohort
Yeon Woo Lee

Quality of Colposcopy Documentation Before and After Implementation of ASCCP Colposcopy Standards
Margaret Kistner

Are Women with Antecedent Low Grade Cytology and < CIN 2 Findings in Colposcopy Being Over Managed?
Sabrina Piedimonte, MDCM, MSc

Trends of Birth Cohort Effects of HPV-Associated Cancers in the United States, 2001-2018
Ryan Suk

Using Health Information Technology Standards to Facilitate Cervical Cancer Screening and Management
David Winters, MITRE

Improving Cervical Cancer Screening Rates: Experience of the Largest FQHC in Massachusetts (recording)
Sue Ghosh, MD, MPH

Genotypic Variants of the Human Papillomavirus in Women with Cervical intraepithelial Neoplasia, Ecuador 2020 (recording)
Ziola Katherine Salazar Torres, PhD

Appearance of the Uterine Cervix Differs on the Basis of HPV Type Status in HSIL: The Results of a Reliable Method (recording)
Qi Zhou, MD

Moderator: Hope K. Haefner, MD

Debating: Laser Vaginal Rejuvenation
Cynthia A. Rasmussen, MD & Hope K. Haefner, MD

Debating: Long Term Follow-up of High Grade Squamous Intraepithelial Lesions of the Vulva
Colleen K. Stockdale, MD, MS & Kathryn C. Welch, MD

Difficult Case Management Issues
Colleen K. Stockdale, MD, MS, Kathryn C. Welch, MD, & Hope K. Haefner, MD

Moderator: Megan A. Clarke, PhD, MHS

The Influence of Obesity on Risk of Cervical Cancer within Different Components of the Screening and Management Process
Megan A. Clarke, PhD, MHS

Cervical Cancer Screening and Management of Patients with Obesity: The Clinical Perspective
Michael Gold, MD

Treating Obesity: The Effectiveness of Lifestyle and Dietary Changes in Weight Loss and Control
Lawrence Cheskin, MD

Weight Bias and Stigma: Considerations for Gynecologic Care
Rebecca Pearl, PhD

Moderator: Michelle J. Khan, MD, MPH

Case 1 and Introduction
Michelle J. Khan, MD, MPH

Epidemiology of Multizonal Disease
Dominique Jodry, MD

Incidence of VaIN after Hysterectomy for CIN 3 or Cervical Cancer (recording)
Ting Ding, Department of Gynecology and Obstetrics, Sichuan University

Screening for Anogenital Cancers in Patients with Multizonal Disease
Elizabeth A. Stier, MD

Treatment Approach in Multizonal Disease
Lisa Flowers, MD, MPH

Joint Procedures and Collaboration Between Services
Michelle J. Khan, MD, MPH

Q&A

Oral Abstracts

HPV-associated Anal Intraepithelial Neoplasia in < 35-year-old HIV-infected Men Who Have Sex with Men
Swati Bhardwaj

Anal Cancer Presentation and Outcomes Among Black Sub-populations in Florida
Patricia Jeudin, MD

Incidence of VaIN After Hysterectomy for CIN 3 or Cervical Caner (recording)
Ting Ding

Moderator: Rachel L. Winer, PhD, MPH

This session will review what is known about the natural history of HPV infections across the lifespan and cervical cancer risk by age.
Considerations for counseling and increasing comfort and effectiveness of screening and management tests for post-menopausal
patients will also be highlighted. 


Panel Discussion Speakers:
Patty Cason, MS, FNP-BC
Sarah Elizabeth Dilley, MD
Rachel L. Winer, PhD, MPH

Moderator: Kimberly L. Levinson, MD, MPH

Novel Treatment Strategies in the Prevention of Cervical Pre-Cancers
Kimberly L. Levinson, MD, MPH

Novel Treatment Options for Cervical Cancer
Warner K. Huh, MD

Check it Out: Checkpoint Inhibitors and Cervix Cancer
Akiva P. Novetsky, MD, MSc

Sex Steroid Hormone Impact on Postpartum HPV Vaccination
Megan E. Lander, MD (Trainee Research Award Winner)

Moderator: Akiva Novetsky, MD, MSc, Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, Rutgers- New Jersey Medical School

Challenges and Steps to Implementing Primary HPV Testing in One Health Care System
Sarah Feldman, MD, MPH

COVID will Transform the Way we Deliver High-Quality Cervical Cancer Screening
Francisco A. R. Garcia, MD, MPH

National Transition to Primary HPV Screening: How to Get from Here to There (recording)
Debbie Saslow, PhD

Moderator: Anna-Barbara Moscicki, MD

Enduring Consensus  Cervical Cancer Screening and Management Guidelines: Introduction and Approach
Nicolas Wentzensen, MD, PhD

How to Incorporate New Technologies into Consensus Guidelines: A Perspective from Risk Estimation and Management Thresholds
Didem Egemen, PhD

Clinical Implementation
Richard S. Guido, MD & Rebecca B. Perkins, MD, MSc

Q&A

Moderator: Teresa Darragh, MD

To LEEP Or Not To LEEP, that is the Question…Regarding Persistent HPV16
Mark Stoler, MD

Do You Frown When the Pathology Report Says, "SMILE"?
Alan G. Waxman, MD, MPH

Condyloma Latum-Everything You Wanted to Know, and Probably More
Debra Heller, MD

Moderator: Patty Cason, MS, FNP-BC

Sexual Health 2022: 10 Crucial Developments We Bet You Didn't Know
Patty Cason, MS, FNP-BC & Ina Park, MD, MS

Moderator: Akiva P. Novetsky, MD, MS

Embedding and Ensuring Equity to End Cervical Cancer
Keynote Speaker: Melissa A. Simon, MD, MPH

Comparison of Acceptance, Sensitivity and Specificity Among Urine Sampling, Self-Sampling and Clinician Sampling
Bernardo Jose Vega, MD

Cervical Cancer Prevention Training and Continuing Education for Nurses in Mozambique, Africa (recording)
Mila Salcedo, PhD

Extended Human Papilloma Virus Genotyping for Risk Assessment of Cervical Intraepithelial Neoplasia (recording)
Xiao Li, MD, PhD