Clinical Case Database / Category: Clinical Care

Cervical intraepithelial neoplasia, screening and colposcopy

Publication details

Dr Janaki Putran MRCOG MD, Mr M A Khaled FRCOG PhD
Foundation Years Journal, volume 3, issue 3, p.46 (123Doc Education, London, April 2009)


A 38-year-old woman attended her local GP practice for a routine cervical smear. The smear result came back as severe dyskaryosis. She was referred to the colposcopy clinic. On colposcopy examination, the entire squamocolumnar junction was seen. An aceto–white area was seen on application of acetic acid. Colposcopy examination suggested a high-grade lesion. The woman underwent a loop excision of the transformation zone under local anaesthetic. The biopsy confirmed CIN 3 with complete excision of margins.

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Dr Janaki Putran MRCOG MD

Associate Specialist
Obstetrics and Gynaecology
Colchester Hospital University Foundation Trust
Turner Road

Mr M A Khaled FRCOG PhD

Consultant Gynaecologist and Director of Medical Education
Colchester Hospital University Foundation Trust
Turner Road


1. Comprehensive cervical cancer control: a guide to essential practice. WHO, 2006.
2. Colposcopy and Programme Management: Guidelines for NHS Cervical Screening Programme. April 2004.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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