09-13-2007, 12:04 AM
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.
(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.