system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 36-year-old woman comes to the physician for a routine gynecological examination. She feels well. Menses occur with normal flow at regular 28-day intervals and last for 3 to 5 days. Her last menstrual period was 20 days ago. She is sexually active with one male partner and they use condoms inconsistently. Her sister was diagnosed with breast cancer at the age of 40 years. She drinks a glass of wine occasionally with dinner and has smoked 10 cigarettes daily for the past 15 years. The patient's vital signs are within normal limits. Physical examination including a complete pelvic exam shows no abnormalities. Urine pregnancy test is negative. A Pap smear shows atypical glandular cells. Which of the following is the most appropriate next step in management?
assistant
Perform colposcopy with endocervical and endometrial sampling