Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Obstetrics & Gynecology

Answer 5
  1. Biopsy the cervical lesion. The Figure shows an exophytic squamous cervical lesion. When a cervical lesion is visualized on pelvic examination, a biopsy of the lesion should be obtained to determine if it is benign or malignant. Although the Pap smear has a sensitivity of 58% for identifying dysplastic cervical cells, it is designed as a screening tool and is not ideal when a lesion is already visible.7 Cryotherapy or laser ablation would not yield a tissue sample for pathologic evaluation and thus is inappropriate at this time. Cervical cone biopsy (conization) is used to evaluate and treat cervical dysplasia and microinvasive cervical cancer. However, histologic results must first be obtained to determine if a malignant condition exists before performing cervical cone biopsy, a procedure associated with potential morbidity (eg, bleeding, infection, pain, risk for cervical stenosis).

    7. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin number 66, September 2005. Management of abnormal cervical cytology and histology. Obstet Gynecol 2005;106:645–64.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 10/24/08 • nvf