RT Book, Section A1 Mayeaux, Jr., E.J. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164351778 T1 Colposcopy of High-Grade Lesions T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK dermatology.mhmedical.com/content.aspx?aid=1164351778 RD 2024/11/14 AB A 36-year-old woman presented for follow-up of a persistently abnormal Papanicolaou (Pap) test. She is a smoker and has had multiple new sexual partners in the past decade. Although she has had several "abnormal Pap tests" in the past, she states she has never needed treatment. She was found to have a dense acetowhite (AW) lesion on colposcopy that was biopsied (Figure 92-1). The pathology returned high grade consistent with cervical intraepithelial neoplasia grade 3 (CIN 3), and the patient was treated with loop electrosurgery. She had negative margins on the loop electrosurgical excision procedure specimen and remained recurrence-free at 3 years.