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Gynaecology & Obstetrics General d26911fb

A 55 year old lady presenting to out patient depament with postmenopausal bleeding for 3 months has a 1 x 1 cm nodule on the anterior lip of cervix. Which of the following is the most appropriate investigation to be done subsequently in this care?

A
Pap smear
B
Punch biopsy
C
Colposcopy
D
Endocervical curettage
High-Yield Explanation
Most appropriate investigation which can be done in the OPD in this patient who has a visible 1 x 1 cm nodule on the anterior lip of cervix is puch biopsy. For non-visible lesions coloposcopy allows accurate delineation of suspicious areas for tissue biopsy. Ref: Shaw's Textbook of Gynaecology, 13th Edition, Page 384

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