Didactics-Grade lesions

Video Transcription

Video Summary

The video discusses the appropriate tests and follow-up procedures for two case scenarios involving women with abnormal pap smears. In the first case, a 35-year-old female with no prior pap smears presents with high-grade squamous intraepithelial lesion (HSIL) and positive HPV16. Her risk of cervical intraepithelial neoplasia grade 3 (CIN3) is 60%, warranting expedited treatment. After performing a loop electrosurgical excision procedure (LEEP) with negative margins and no invasive carcinoma, the patient requires follow-up with pap smears and HPV co-testing every year for three years and then routine screening. In the second case, a 45-year-old female with a previous positive pap smear for HPV18 and negative colposcopy develops adenocarcinoma in situ (AIS) after a repeat positive pap smear for HPV18. A cold knife cone procedure is recommended to confirm the diagnosis, rule out underlying carcinoma, and prevent recurrence. The patient, who is done with childbearing, will likely require a hysterectomy.

Asset Subtitle

Kat Eurich
September 2023

Keywords

abnormal pap smears

follow-up procedures

high-grade squamous intraepithelial lesion

loop electrosurgical excision procedure

cervical intraepithelial neoplasia grade 3