RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57675706
T1 Chapter 90. Colposcopy of High-Grade Lesions
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57675706
RD 2024/04/19
AB A  36-year-old  woman  presented  for  follow-up  of  a  persistently  abnormal  Papanicolaou  (Pap)  test.  She  is  a  smoker  and  has  had  multiple  new  sexual  partners  in  the  last  few  years.  Although  she  has  had  several  “abnormal  Pap  tests”  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  90-1).  The  pathology  returned  cervical  intraepithelial  neoplasia  grade  3  (CIN  3)  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.