Management of CIN III:

Ans. D. LEEP conizationa. CINIII, once diagnosed after cervical biopsy, needs to be further investigated to rule out invasion. This is done by taking a cone of the cervix that includes all the ectocervix and the endocervical glands. The cone specimen can be taken with a scalpel which is the traditional cold knife conization or with LEEP.b. The lesser morbidity associated with LEEP is making it a better choice for further management of CINIII.c. If on cone specimen which could have been obtained by any of the mentioned technique, there is no invasion then the procedure is therapeutic. If invasion is demonstrated, then hysterectomy is required.