A high grade squamous intraepithelial lesion is noted with pap, next management includes -
Wahim's hysterectomy
Local excision
Colposcolic study and biopsy
HPV DNA testing
Ans' is'c'i.e., Colposcolic study and biopsyFor high grade intraepithelial lesions (HSIL), first step is to do colposcopy and biopsy. Moderate to severe dysplasia(CIN-II & CIN-III) (HSIL):Treatment options are:Local destructive methodsCryosurgeryFulguration/electrocoagulation .Laser ablationExcision of abnormal tissueCold knife conisationLaser conisationLLETZLEEPNETZSurgery:Therapeutic conisationHysterectomyHysterectomy with removal of vaginal cuff if carcinoma in situ extends into vaginal vault