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Gynaecology & Obstetrics General 657d15a2

Rekha a 45-years-old woman has negative pap smear with +ve endocervical curretage. Next step in management will be:

A
Colposcopy
B
Vaginal hysterectomy
C
Conisation
D
Wertheim's hysterectomy
High-Yield Explanation
In the question, Rekha has negative pap smear along with positive endocervical curettage - it could mean endometrial cancer which has extended to cervix or adeno carcinoma of endocervix. To distinguish between the two - conization should be done. Colposcopy is of no use as it cannot usualize upper part of endocervix.

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