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The Color Atlas of Family Medicine
| Part 11. Women's Health > Section 4. Colposcopy > |
Chapter 86. Colposcopy of High-Grade Disease
Sections: Patient Story, Epidemiology and Pathophysiology, Etiology and Pathophysiology, Diagnosis, Differential Diagnosis, Management, Patient Education, Follow-Up, References.
Topics Discussed: cervical intraepithelial neoplasia; colposcopy; squamous intraepithelial lesion.
Excerpt:"A 36-year-old woman presented for follow-up of a persistently abnormal Pap smear. She is a smoker and has had multiple new sexual partners in the last few years. Although she has had several "abnormal Pap smears" in the past, she states she has never needed treatment. She was found to have a dense acetowhite (AW) lesion on colposcopy that was biopsied (Figure 86-1). The pathology returned cervical intraepithelial neoplasia (CIN) III and the patient was treated with loop electrosurgery. She had negative margins on the loop electrosurgical excision procedure specimen and remained recurrence free at 3 years...."
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