I have moderate cervical cancer lesions, I already had puncture & cone biopsy? What's the next step & can it be done in a dr's office?

Probably surgery. It is very important to follow up with your gyn and ask these questions of them. It does depend on what kind of abnormality is on the biopsies but may need to involve a hysterectomy.
Wait for the reports. Wait for path report, if did not invade , only superficial will need minimum surgery , or may need radical surgery , even chemo radiation , depending on the stage. Speak to you doctor will tell you the plan of treatment(s).

Related Questions

I have been told that I have moderate to severe lesions of cervical cancer I have had a puncture biopsy and a cone biopsy now my doctor wants to do another cone biopsy should I get a second opinion or stay with the doctor im at?

Stay the course. Hgsil is managed by a cone biopsy, but if the margins are positive, you may need another biopsy. Sometimes this affects the cervical competence (ability to remain closed). Read more...
Ask your Dr. Your doctor probably has the best plan as described. But he should be glad for you to get a second opinion. After all, doctors should really want the best for you, and that includes you having access to other input/insight to get your full understanding and confidence of options. Dr. Beckman. Read more...

Can the doctors tell if a person has cervical cancer before they get a cone biopsy done?

Yes. The diagnosis of cervix cancer is made with a pap test or biopsy of a visible tumor. A cone biopsy is a way to treat a precancerous lesion which, if left alone, may become cancerous. Read more...