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A 29-Year-Old G4P4 Is Found to Have an Abnormal Smear

Question 9

Multiple Choice

A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:


A) Vaginal hysterectomy
B) Radical hysterectomy/Radiotherapy
C) Cold-knife conization of the cervix
D) Loop excision of the cervical tranformation zone
E) none

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