cervical path q

[MudPhud20XX]

---

Members don't see this ad.

A 35 yr old woman comes to the physician b/c of an abnormal Pap smear. She undergoes cervical biopsy. Histologic examination of the transformation zone confirms high grade cervical dysplasia (CIN3). If the pt is lost to follow-up, which of the following outcomes is most likely two years later?

A. Metastasis via blood stream
B. Mets via lymphatics
C. Persistence of the lesion at the same level
D. Progression of the lesion to invasive carcinoma
E. Regression of the lesion

 

[NCmedstudent]

Either C or D. I'm not terribly familiar with the timeline in years. I think it's C because it takes a really long time usually to invade (which it does locally). Questions like this are really annoying because it's not the type of thing thats in UWFAP or that you learn in school. Plenty of these on the exam.

 

[RLSGrasshopper]

Ayo I seen this question before. I think it's from Kaplan.

 

[22031 Alum]

C.

CIN3 carries the highest risk of progression to invasive cancer (50-60%), but the timeline of progression is still along the order of 8-10 years.