Patient with CIN-II positive on pap’s smear, next step will be
A. Repeat pap’s smearB. Cone biopsy
C. Colposcopic directed biopsy
D. Punch biopsy
E. Start chemotherapy
Ans. (C) Colposcopic directed biopsy :
* Cone biopsy is done when there is discrepancy between cytology and colposcopy
* Cone biopsy is done when there is discrepancy between cytology and colposcopy
*
Hystrectomy is done if there is persistent CIN-II.
*
If-CIN-I, then PAP smear is repeated
Note :The sequence of performing tests are
- PAP Smear
- COLPOSCOPY (and biopsy directed by COLPOSCOPY) :any discrepancy or incomplete visualisation of the lesion.
- CONE. BIOPSY
• As pap smear is positive, next step is to visualise the abnormal areas under coploscopy and to take biopsy under guidance of it (abnormality in PAP smear).
- PAP Smear
- COLPOSCOPY (and biopsy directed by COLPOSCOPY) :any discrepancy or incomplete visualisation of the lesion.
- CONE. BIOPSY
• As pap smear is positive, next step is to visualise the abnormal areas under coploscopy and to take biopsy under guidance of it (abnormality in PAP smear).
