Treatment of biopsy proven CIN 3 in 50yr old woman:: (A) Conisation, (B) Hysterectomy, (C) Colposcopy with LEEP, (D) Trachelectomy
Answer is C. When a cytologic specimen suggests the presence of HSIL, colposcopy and directed biopsy should be performed. Although high-grade CIN can be treated with a variety of techniques, the preferred treatment for CIN 2 and 3 is loop electrosurgical excision procedure . Hysterectomy is currently considered too radical for treatment of CIN, however may be offered in presence of a concurrent indication.