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Avoiding Checkmate: Planning the Next Move after HGSIL Pap Smear and Unsatisfactory Colposcopy

Avoiding Checkmate: Planning the Next Move after HGSIL Pap Smear and Unsatisfactory Colposcopy

A 35 year old patient presents with a high grade squamous intraepithelial lesion (HGSIL) Pap smear. There is an unsatisfactory colposcopy; the transformation zone was not sampled.  The biopsy shows slight atypia. What’s your next move?

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