History of Patient A 28-year-old woman attends the colposcopy clinic after an abnormal smear test. She is very anxious as she thinks that she might have cervical cancer. The smear is reported as “severe dyskaryosis”. She had a previous normal result at age 25 years. She has not had any postcoital or intermenstrual bleeding. She had more than one partners and was detected with genital herpes several years ago but has not had any attack for last 3 years.
She is an extensive smoker and a social drinker. She has an intrauterine contraceptive device in situ. Findings: The cervix is macroscopically normal. At colposcopy, acetic acid is applied and an irregular white area is apparent to the left of the os. Lugol’s iodine is applied and the same area stains pale while the rest of the cervix stains dark brown. Cervical biopsy record revealed that the sample received measures 4mm X 2 mm and…
