A 31 year old female, P1L1 underwent a routine paps smear which was repoed as CIN III (High Grade Squamous Intraepithelial Lesion/ HSIL) . What will be the next step in management?: (A) Trachelectomy, (B) Hysterectomy, (C) Conization, (D) Colposcopy biopsy
Answer is D. After a patient is repoed to have CIN III on a paps smear the next step is to confirm the diagnosis by a colposcopic biopsy Conization is not done in a young patient with incomplete family as it causes Sho cervix- Incompetence - aboions Stenosed- Infeility Trachelectomy and hysterectomy are not done in premalignant lesions in a young female unless biopsy proves invasive carcinoma