A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:

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Loop excision of the cervical tranformation zone

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Vaginal hysterectomy

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Radical hysterectomy/Radiotherapy

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Cold-knife conization of the cervix

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none

1.	A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:
A.	Vaginal hysterectomy
B.	Radical hysterectomy/Radiotherapy
C.	Cold-knife conization of the cervix
D.	Loop excision of the cervical tranformation zone
E.	none
Answer» D. Loop excision of the cervical tranformation zone

A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:

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