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Gynaecology & Obstetrics General 6cd28c44

. Pap smear of Lelawati 45 years female shows CIN grade III. Which of the following is the next step in management:

A
Punch biopsy
B
Large loop excision
C
Colposcopy directed biopsy
D
Cone biopsy
High-Yield Explanation
• Pap smear is only a screening test. To confirm we need to do a biopsy. • In all visible lesions punch biopsy should be done • In case of invisible lesion colposcopic directed biopsy is the gold standard. Thus in this case since it is not mentioned growth is visible so we do colposcopy guided biopsy.

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