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What is A high grade squamous intraepithelial lesion is noted with pap, next management includes - and explain in detail?
Ans' is'c'i.e., Colposcolic study and biopsyFor high grade intraepithelial lesions (HSIL), first step is to do colposcopy and biopsy. Moderate to severe dysplasia(CIN-II & CIN-III) (HSIL):Treatment options are:Local destructive methodsCryosurgeryFulguration/electrocoagulation .Laser ablationExcision of abnormal tissueCold knife conisationLaser conisationLLETZLEEPNETZSurgery:Therapeutic conisationHysterectomyHysterectomy with removal of vaginal cuff if carcinoma in situ extends into vaginal vault