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Old 01-25-2013
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ObGyn How to manage postmenopausal LSIL Pap smear?

A 62-year-old woman has an abnormal Papanicolaou (Pap) smear finding of low-grade squamous intraepithelial lesion (LSIL) on routine screening. She does not have a significant past medical history, and she is immunocompetent.
Her last Pap smear 3 years ago was normal. She has never had an abnormal Pap smear and has always complied with obtaining routine screening tests. She is entirely asymptomatic and postmenopausal. She is referred for colposcopy, and biopsy of a satisfactory specimen confirms LSIL. What is the most appropriate next step in the management?
(A) Endocervical curettage
(B) Loop electrosurgical excision procedure
(C) Observation consisting of a repeat Pap smear in 1 year
(D) Observation consisting of colposcopy and repeat Pap smears every 4 months for up to a year
(E) Repeat colposcopy in 1 year, even if repeat Pap smear is normal
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Old 01-25-2013
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a)endocervical curettage
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(D) Observation consisting of colposcopy and repeat Pap smears every 4 months for up to a year
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(D) Observation consisting of colposcopy and
repeat Pap smears every 4 months for up to
a year
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Yes answer is (D) Observation consisting of colposcopy and repeat Pap smears every 4 months for up to a year.
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Old 01-20-2014
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Why every 4 months ?

can women with Negative or CIN 1 results on their colposcopy be followed with cytology @ 6 and 12 months or HPV testing @ 12 month?

anyone please help
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