A 55 year old lady presenting to out patent department (OPD) with postmenopausal bleeding for 3 months has a 1x1 cm nodule on the anterior lip of cervix. The most appropriate investigation to be done subsequently is:
1. Pap smear.
2. Punch biopsy.
3. Endocervical curettage.
4. Colposcopy.
Answer
2. Punch biopsy.
Reference
Test book of Gynaecology 2nd Edition D.C.Dutta 316 , 519
Shaw
Quality
Spotter
Status
Repeat
QTDF
Shaw
Discussion
Cytological Examination is now obligatory for establishing a diagnosis
Explanation
1. Pap smear can be used, and will be an Answer if Punch biopsy is not given.
2. Punch biopsy is the most appropriate Answer in this setting.
3. Endocervical curettage can be done after Punch Biopsy.
4. Coloposcopy is inferior to Punch biopsy.
Comments
An often and most repeated Question
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Source of this Question: RxPG AIPG 2004
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