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
Answer is B. 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