Malignant cells are present. All of these, with the exception of numbers 1 and 2, require some kind of further evaluation. The kind of evaluation depends on which one it is. If that repeat is still abnormal, then a colposcopy with biopsy is indicated. Further treatment depends on the results of those tests.
Further treatment depends on the results.
Malignant cells present requires biopsy, colposcopy with biopsy, or whatever other tests are needed to find the source of the malignant cells. This seems easy. Indeed we have missed something here. If one performs Pap smears on 100 patients who have cancer of the cervix, anywhere from 20-50 of them will be either no pathologic change or inflammation. Because when cancer of the cervix is present, it causes a lot of inflammation which can obscure the cancer cells.