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To Dr Paul regarding colposcop

To Dr Paul regarding colposcop Posted by zakaria M.
25 year old parous lady whose cervical smear showed moderate and then severe dyskaryocytosis but colposcopy is normal.The following are appropriate

1.Knife conisation -T
2.repeat smear in 3 months -F
3.laser vaporisation F
The NHS colposcopy guide and cervical screening says that persistent high grade smear even if colposcopy is normal needs treatment. Accordingly should it be first biopsy and then in case of persistent tabnormality it should be traeted with knife cone? can u please give opinion?
Posted by PAUL A.
25 year old parous lady whose cervical smear showed moderate and then severe dyskaryocytosis but colposcopy is normal.The following are appropriate

1.Knife conisation -T
2.repeat smear in 3 months -F
3.laser vaporisation F
The NHS colposcopy guide and cervical screening says that persistent high grade smear even if colposcopy is normal needs treatment. Accordingly should it be first biopsy and then in case of persistent tabnormality it should be traeted with knife cone? can u please give opinion?

it is unclear what you are confused about. The initial management depends on what you observe at colposcopy but there is no point in taking a biopsy from what appears to be normal cervix. If cytological abnormalities persist and the cervix appears colposcopically normal then one has to look for disease higher up the cervical canal. This does not have to be by cold knife conisation and diathermy / laser could be used. There are benefits and disadvantages with all these options