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+--- Thread: path Q - sh4peace (/showthread.php?tid=219258)
path Q - sh4peace - ArchivalUser - 09-13-2007
A routine Pap smear is obtained on a 45-year-old female who has not had a previous Pap smear. The results indicate that dysplastic cells are present, and the lesion is consistent with cervical intraepithelial neoplasia (CIN) Ill. The patient is referred to a gynecologist who performs colposcopy and takes several biopsies that all show CIN III. She undergoes conization of the cervix. Pathologic examination of the cone reveals a focus of microinvasion at the squamocolumnar junction. What would you advise this patient regarding these findings?
(A) A course of radiation therapy is indicated.
(B)A total abdominal hysterectomy should be performed.
© A bone scan for metastatic lesions should be done.
(D) A pelvic exenteration will be necessary.
(E) No further therapy is indicated at this time.
0 - ArchivalUser - 09-13-2007
e....
0 - ArchivalUser - 09-13-2007
good job, harsh. Can you explain ?
0 - ArchivalUser - 09-13-2007
here pt had CIN3 for whch we did conisation...n then we get microscopic invasion in the conisation...n thus pt comes into stage 1 a....n rx for tat is conisation itself..so..nw no more rx required....
0 - ArchivalUser - 09-13-2007
HOPE U GET IT...I m nt a good teacher i suppose
0 - ArchivalUser - 09-13-2007
thanks, U r so good.
0 - ArchivalUser - 09-13-2007
thanx harsh