A 28-year-old female has been told she has atypical glandular cells following Pap smear. The ...

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Because adenocarcinoma of the cervix is being detected more frequently, especially in women younger than 35 years of age, a Pap smear result of atypical glandular cells warrants further evaluation. The LEEP has taken the place of cone biopsies in most situations and is now the first-line management for CIN II/III. This outpatient procedure allows for the simultaneous diagnosis and treatment of dysplastic lesions found on colposcopy. In skilled hands, this wire can remove the entire transformation zone, providing adequate treatment for the lesion while obtaining a specimen for further histological evaluation. Cone biopsy is a surgical procedure that removes a cone-shaped wedge of cervix. Trachelectomy is removal of the cervix, and intracavitary irradiation is a form of brachytherapy to treat cervical cancer.

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