Treatment of biopsy proven CIN 3 in 50yr old woman:
When a cytologic specimen suggests the presence of HSIL, colposcopy and directed biopsy should be performed. Although high-grade CIN can be treated with a variety of techniques, the preferred treatment for CIN 2 and 3 is loop electrosurgical excision procedure . Hysterectomy is currently considered too radical for treatment of CIN, however may be offered in presence of a concurrent indication.
Conisation
Hysterectomy
Colposcopy with LEEP
Trachelectomy
Cervical Carcinoma