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Cervical intraepithelial neoplasia

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The "positive smear result" is a very frightening thing, especially since it is invariably a woman who otherwise feels entirely well. The mnemonic "precancer" can help in remembering the points that ought to be made (though not necessarily in that order):



P artner, involve, in particular if there is gross CIN

R eproduction, mucus, carrying a baby, stenosis

E mbarrasment, site and stigma - emphasise not promiscuity

C ontraception, ?barrier method, no need to alter practice

N atural history, slowness of premalignancy to malignancy

E radication, outpatient basis, diathermy, cone biopsy

R esults, keeping patient informed, 95% no more treatment

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