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Aach is the result of pap smear the sounds rather queasy a SCH stands for a typical squamous cells cannot exclude high-grade intra epithelial lesion as is obvious from its name a SCH carries higher risk of cervical neoplasm but lower than H SI l as is well known HPV infection is the identified cause of cervical neoplasm in other test results running the HPV test was a recommended stat such as in Oscars or LSI L however in case of a SCH HPV testing is deemed inappropriate because HPV detection rate is very high in Aach even though the HPV test turns out to be negative five-year cancer risk amounts to 2% then how should a SCH be managed regardless of age and risk stratification colposcopy is recommended again HPV testing is not recommended mostly the histology result will be CIN 2 to 3 which needs treatment the patient may be treated with either an excisional procedure such as cone biopsy or le EP or by an ablative procedure such as cryotherapy or co2 laser cervical near Folsom is mostly