Oncology and Fibroids
A 40 yr old woman presenting with CIN III on pap smear treatment of choice? (AIPG 2010)
|B||Colposcopy with leep|
1. Risk Factors for CIN:
a. Young age at first intercourse (< 16 years)
b. Multiple sexual partners
c. Cigarette smoking
d. High parity
e. Low socioeconomic status
f. HPV infection
g. Immuno suppression
2. Treatment options for CIN III are:
a. LEEP/LLETZ in young patients who are desirous of future child bearing.
b. If the patient is old or family is complete then this is treated by simple hysterectomy
c. Option c & d are for 1A1 ca cervix in young women desirous of further childbearing.