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Colposcopic Evaluation of Preinvasive and Early Cervical Cancer

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Colposcopy of Female Genital Tract

Abstract

Colposcopic assessment of the grade of abnormality and therefore the risk of progression is the key to the process of managing a screen-positive woman. Colposcopy is an important tool in identifying atypical transformation zone, for defining the grade of the lesion, area for targted biopsy and for excisional therapy. The chapter discusses the colposcopic features which help to distinguish low grade from high grade disease with ample illustrations.

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References

  1. Reid R, Scalzi P. Genital warts and cervical cancer. An improved colposcopic index for differentiating benign papillomavirus infections from high grade cervical intraepithelial neoplasia. Am J Obstet Gynecol. 1985;153:611–8.

    Article  CAS  PubMed  Google Scholar 

  2. Mousani AS, Fakour F, Giliani MM, et al. A prospective study to evaluate the correlation between Reid colposcopic index impression and biopsy histology. J Low Genit Tract Dis. 2007;11:147–50.

    Article  Google Scholar 

  3. Seidl S. Reflection on the international colposcopic nomenclature. Geburstshilfe Frauenheilkd. 2005;65:1028–30.

    Google Scholar 

  4. Bowring J, Strander B, Young M, et al. The Swede score: evaluation of a scoring system designed to improve the predictive value of colposcopy. J Low Genit Tract Dis. 2010;14:301–5.

    Article  PubMed  Google Scholar 

  5. Strander B, Elstrom-Andeson A, Franzen S, et al. The performance of a new scoring system for colposcopy in detecting high grade dysplasia in the uterine cervix. Acta Obstet Gynecol Scand. 2005;84:1013–7.

    Article  PubMed  Google Scholar 

  6. Coppleson M, Dalrymple J, Atkinson K. Colposcopic differentiation of abnormalities arising in the transformation zone. Obstet Gynecol Clin North Am. 1993;20:83.

    CAS  PubMed  Google Scholar 

  7. Bornstein J, Bentley J, Bosze P, et al. Colposcopic terminology of the international federation for cervical pathology and colposcopy. Obstet Gynecol. 2012;120:166–72.

    Article  PubMed  Google Scholar 

  8. Hammes LS, Naud P, Passos EP, et al. Value of the international federation for cervical pathology and colposcopy (IFCPC) terminology in predicting cervical disease. J Low Genit Tract Dis. 2007;11:158–65.

    Article  PubMed  Google Scholar 

  9. Ole K, Byrjalsen C, Hamen K, et al. Association between colposcopic findings and histology in cervical lesion: the significance of the size of the lesion. Gynecol Oncol. 1995;57:66–71.

    Article  Google Scholar 

  10. Kishi Y. Colposcopy for gland (Crypt) openings. J Low Genit Tract Dis. 2006;10(2):79–82.

    Article  PubMed  Google Scholar 

  11. Kishi Y, Inui S, Sakamoto Y. Colposcopic findings of gland openings in cervical carcinoma: their histological background. Int J Gynecol Obstet. 1987;25:223–33.

    Article  CAS  Google Scholar 

  12. Scheungraber C, Glutig K, Fechtel B, et al. Inner border – a specific and significant colposcopic sign for moderate or severe dysplasia. J Low Genit Tract Dis. 2009;13:1–4.

    Article  PubMed  Google Scholar 

  13. Scheungraber C, Koenig V, Fechtel B, et al. The colposcopic features ridge sign is associated with the presence of cervical intraepithelial neoplasia 2/3 and human papillomavirus 16 in young women. J Low Genit Tract Dis. 2009;13:13–6.

    Article  PubMed  Google Scholar 

  14. Vercellino G, Erdemoglu E, Chiantera V, et al. Validity of the colposcopic criteria: inner border sign, ridge sign and rag sign for detection of high grade cervical intraepithelial neoplasia. Obstet Gynecol. 2013;121:624–31.

    Article  PubMed  Google Scholar 

  15. Coppleson M, Pixley E, Reid B. Colposcopy. Springfield: Charles C Thomas; 1971. p. 14–6, 53–110, 155–192.

    Google Scholar 

  16. Burghardt E. Premalignant conditions of the cervix. Clin Obstet Gynecol. 1976;3:257.

    CAS  Google Scholar 

  17. Ferency A, Wright T. Anatomy and histology of the cervix. In: Kurman R, editor. Blaustein’s pathology of the female genital tract. 4th ed. New York: Springer; 1994.

    Google Scholar 

  18. Gray LA. Colposcopy. In: Dysplasia, carcinoma in-situ and microinvasive cancer of the cervix uteri. Springfield: Charles C Thomas; 1964. p. 246–9.

    Google Scholar 

  19. Walker P, DePalo G, Campion M, Jakob C, Ray M. International terminology of colposcopy: an updated report from the International Federation for Cervical Pathology and Colposcopy. Obstet Gynecol. 2003;101:175–7.

    CAS  PubMed  Google Scholar 

  20. Richart R. Cervical intraepithelial neoplasia. Pathol Ann. 1973;8:301.

    CAS  Google Scholar 

  21. Hopman EH, Voorhorst FJ, Kenemans P, et al. Observer agreement on interpreting colposcopic images of CIN. Gynecol Oncol. 1995;58:206–9.

    Article  CAS  PubMed  Google Scholar 

  22. Etherington IJ, Dunn J, Shafi MI, et al. Videocolpography: a new technique for secondary cervical screening. Br J Obstet Gynecol. 1997;104:150–3.

    Article  CAS  Google Scholar 

  23. Etherington IJ, Lusley DM, Shafi MI, et al. Observer validity among colposcopists from the west midlands region. Br J Obstet Gynecol. 1997;104:1380–4.

    Article  CAS  Google Scholar 

  24. Shafi MI, Nazeer S. Colposcopy: a practical guide. Slisury: Fivepin Publishing; 2006.

    Google Scholar 

  25. Mitchell MF, Scottenfeld D, Tortolero-lung G, et al. Colposcopy for the diagnosis of squamous intraepithelial lesions: a meta-analysis. Obstet Gynecol. 1998;91:626–31.

    CAS  PubMed  Google Scholar 

  26. Schiffman M, Soloman D. Findings to date from the ASCUS-LSIL triage study (ALTS). Arch Pathol Lab Med. 2003;127:946–9.

    PubMed  Google Scholar 

  27. ALTS group. Results of a randomized trial on the management of cytology interpretation of atypical squamous cells of undetermined significance. Am J Obstet Gynecol. 2003;188:1383–92.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India

    Sruthi Bhaskaran

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  1. Sruthi Bhaskaran
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Correspondence to Sruthi Bhaskaran .

Editor information

Editors and Affiliations

  1. Babu Jagjivan Ram Memorial Hospital, Dept of Obstetrics & Gynecology Babu Jagjivan Ram Memorial Hospital, New Delhi, India

    Sumita Mehta

  2. Maulana Azad Med. College&Lok Nayak Hos., Dept. of Obstetrics & Gynecology Maulana Azad Med. College&Lok Nayak Hos., New Delhi, India

    Poonam Sachdeva

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© 2017 Springer Science+Business Media Singapore

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Bhaskaran, S. (2017). Colposcopic Evaluation of Preinvasive and Early Cervical Cancer. In: Mehta, S., Sachdeva, P. (eds) Colposcopy of Female Genital Tract. Springer, Singapore. https://doi.org/10.1007/978-981-10-1705-6_11

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  • DOI: https://doi.org/10.1007/978-981-10-1705-6_11

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-1704-9

  • Online ISBN: 978-981-10-1705-6

  • eBook Packages: MedicineMedicine (R0)

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