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jiangxiaoyu 离线
Agree with most of you. HSIL, suspicous for malignant. suggest bx or leep or cone biopsy.
We always think biopsy is the golden standard, but it is not true sometimes.
One study indicated that one colposcopy can reach the HSIL dx at 50% and three times of colposcopies can reach the hsil dx at about 70% (the % is about and I did not check the original paper) if the patients have true HSIL lesion. In other words, colposcopy with bx can miss the lesions due to the skill of gynecologists or nature of the lesions.