A 40-year-old lady, with two living children gets her Pap smear. The report reads moderate dyskaryosis. Further management includes
A. ConizationB. Hysterectomy
C. Colposcopy and biopsy
D. Speculoscopy
Answer. C (Colposcopy and biopsy)
Indications for colposcopy
Indications for colposcopy
1. To
inspect the cervix and vagina in a woman with an atypical Pap smear.
2. To select the area showing atypical colposcopic appearance for a colposcopic directed biopsy.
3. To ensure that the vaginal margins are clearly defined while undertaking conization or locally destructive surgery.
4. To evaluate lesions of vagina and vulva.
5. During conservative treatment of CIN cervix, i.e., cryosurgery and laser vaporization to ensure that the entire lesion is destroyed. -
6. Follow-up of patients treated conservatively for CIN.
2. To select the area showing atypical colposcopic appearance for a colposcopic directed biopsy.
3. To ensure that the vaginal margins are clearly defined while undertaking conization or locally destructive surgery.
4. To evaluate lesions of vagina and vulva.
5. During conservative treatment of CIN cervix, i.e., cryosurgery and laser vaporization to ensure that the entire lesion is destroyed. -
6. Follow-up of patients treated conservatively for CIN.