. Pap smear of Lelawati 45 years female shows CIN grade III. Which of the following is the next step in management:
• Pap smear is only a screening test. To confirm we need to do a biopsy.
• In all visible lesions punch biopsy should be done
• In case of invisible lesion colposcopic directed biopsy is the gold standard. Thus in this case since it is not mentioned growth is visible so we do colposcopy guided biopsy.
Punch biopsy
Large loop excision
Colposcopy directed biopsy
Cone biopsy