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2003 >
Gynaecology &
Obstetrics
> Explanation
- The next step in a case of discrepancy between the
findings of PAP smear and colposcopic findings, is?
A. Repeat PAP smear
B. Punch biopsy
C. Cone biopsy
D. Hysterectomy
Ans: C) Cone biopsy
[Ref: Shaw's Textbook of Gyanecology, 12th
Ed, Pg-290]
Explanation -
Indications of Cone biopsy -
- A large area of abnormal lesion is seen
- Inner margin of lesion receded into the cerivcal canal
- Squamo-columnar junction is not completely visible for
colposcopy
- Colposcopy suspicious of micro or macro invasion
- Discrepancy between cytological
report (PAP Smear) and Colposcopic findings
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