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today i would like to talk to you about abnormal pap smear what are the abnormal pap smear results and what to do with them there are four major abnormal pap smear results uh these are pathologic diagnoses they usually report the first one is something called ascos astus it stands for atypical its common cell of undetermined significance uh if somebody has this abnormal types may ask us will you do hpv tests on them check for uh hpv virus if its negative nothing no further management is necessary if its positive then you go further and do something called a coposcopy which is a biopsy of cervix the other levels is level 1 or crn1 level 2 or crn2 or level 3 and crn 3. these are different abnormal cell and the higher number is more precancerous sometimes also people use a different category called high grade and low grade uh lesion or high grade sil and local sil pretty much cn1 and two goes as a low grade and cintiqua is a high grade uh the management for these if after the biopsy i