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adenocarcinoma in situ

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Case 25 - A 28-Year-Old P0 Woman with Adenocarcinoma In Situ Has Intraoperative Bleeding during a Cold-Knife Conization
- By Seine Chiang
Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
Book:

Surgical Gynecology

Published online:

19 November 2021

Print publication:

02 December 2021, pp 70-73
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Summary

A 28-year-old female para 0, non-smoker, presents to discuss management of adenocarcinoma in situ (AIS) on colposcopic biopsy. She has been in a mutually monogamous relationship for the past four years, has had two lifetime partners, and uses combined oral contraceptive pills (COCs; ethinyl estradiol 20 mcg/norethindrone 1 mg PO daily) for contraception. She has no past surgical history and no known drug allergies. She had a normal wellness examination three months ago and completed the HPV vaccination series at age 26. Her past medical history is significant for abnormal Pap smear. Her cervical cancer screening history is as follows: