case can be advanced for selectively referring smokers with mild dyskaryosis for immediate colposcopy and for continuing with cytological surveillance for non-smokers.The data now available, however, justify a policy of immediate referral of all such patients for colposcopy.This would result in some increase in colposcopic surveillance but is surely preferable to cytological surveillance in a group with a high incidence of important disease who will ultimately need colposcopy, especially when there is a substantial risk of patients default- ing from follow up.
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Sheila A. McKenzie (1994) studied this question.
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