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Kaplan Qbank USMLE



Author4 Posts
  #1

In a patient with CIN-II treated----How should be the follow up be?

Can anybody give a concise outline of the follow up of the PAPS smear?

Thanx!

  #2

As usual I didn't know the answer to your q, I think I will never remember all this stuff... So I checked on UpToDate.

For biopsy confirmed CIN2/3 the follw up is:

-Cervical cytology or cytology + colposcopy w endocervical curretage every 6 mo after treatment until you get three consecutive negative results

-After these 3 negative results do annual follow up till you get 3 consecutive negative results

-If ASC or greater is detected do colposcopy (if not done as part of F/U)

-


  #3

Thanx virgola! I appreciate it!

  #4

when it should started--PAP SMEAR?

AT ONSET OF SEXUAL ACTIVITY

OR

AGE OF 21 OR 18??? RECENT RECOMMENDATION 21 age ?? anybody knows?







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