Basic principles and diagnostic of colposcopy article pdf available in berkala ilmu kedokteran 472. Scribd is the worlds largest social reading and publishing site. Other uses of colposcopy include evaluation of cervical, vaginal, and vulvar. Colposcope the colposcope is a binocular, lowmagnification 7x to 30x microscope with light source which is used to visualize the cervix, vagina and vulva. The recommendations were developed by an expert working group appointed by asccps board of directors. Get a printable copy pdf file of the complete article 230k, or click on a page image below to browse page by page. Jan 01, 2008 a leaflet to send to women referred for colposcopy, after an abnormal cervical screening result.
American cancer society, american society for clinical. Colposcopy takes approximately 5 to 10 minutes, can be performed during an office visit, and causes minimal discomfort. Colposcopy is a way to get a closeup look at your cervix. We will contact you with your test results as soon as they become available to us. Colposcopy is a method used to detect cervical cancer. The curve has been stable for the past decade because we are not reaching the unscreened population. Colposcopy with biopsies colposcopy, a magnified examination of the cervix, was done today to detect any abnormalities. The asccp colposcopy standards recommendations address the role of colposcopy and directed biopsy for cervical cancer prevention in the united states. A biopsy of the cervix is the removal of a small piece or pieces of tissue from the cervix using a specially designed instrument. Cervical cancer is one of the most common cancers in women. With the advent of the pap smear, the incidence of cervical cancer has dramatically declined.
Colposcopy is done when results of cervical cancer screening tests show abnormal changes in the cells of the cervix. Full text full text is available as a scanned copy of the original print version. A leaflet to send to women referred for colposcopy, after an abnormal cervical screening result. Why to have terminology and standards in colposcopy. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. We use your linkedin profile and activity data to personalize ads and to show you more relevant ads. Colposcopy and treatment of cervical intraepithelial neoplasia. The goal in the evaluation of the lesions is to exclude the possibility of malignancy. Colposcopy patient guide what is a biopsy of the cervix. Colposcopy free download as powerpoint presentation. A colposcopy is a procedure performed in our office during which your doctor will use a special microscope to provide an illuminated, magnified view of the cervix and vagina. Cervical cancer india pdf ppt case reports symptoms. Decreasing trends of cervical cancer incidence in the u. A practical guide is a stateoftheart guide to colposcopy, directly applicable to daily clinical practice, and a key text for all those involved in.
The story of catherine catherine presented for routine gynecologic care in june 20 and was found to have had an abnormal pap smear from. Colposcopy colposcopy is the direct magnified inspection of the surface of a womans genital area, including the cervix, vagina, and vulva using a light source and colposcope. It is usually found at a very early stage through a pap test. The new screening recommendations address ageappropriate screening strategies, including the use of cytology and highrisk human papillomavirus hpv testing, followup e. Colposcopy and cervical intraepithelial neoplasia sciencedirect. Colposcopy has gained widespread acceptance in the united states only in the last ten years and today is considered standard practice for evaluating women with abnormal pap smears. Shafi and saloney nazeer excerpt more information chapter1basic principles of colposcopy atypical cervical cytology or positive test for highrisk human papilloma virus hrhpv, especially if it is persistent, may indicate the presence of abnormality on the cervix. A lighted instrument called a colposcope is used to closely examine the cervix. The trends in the incidence of cervical cancer in different countries relate largely to the availability, quality and coverage of screening programmes, as well as exposure to human papillomavirus hpv and other risk factors, which reflect sexual habits, cultural and socioeconomic influences. The primary goal of colposcopy is to identify precancerous and cancerous lesions so that they may be treated early. Satisfactory colposcpies are those in which the lesion and the scj can be seen in entirety. Hinselmann during the 1920s he sought to prove that microscopic examination of the cervix would detect cervical cancer earlier than 4 cm. Colposcopy is used to follow up abnormal cervical cancer screening tests eg, pap smear, human papilloma virus hpv testing or abnormal. Jun 17, 2014 one retrospective study of 314 women with postcoital bleeding seen by a gynecologic service found that 20% of women diagnosed with cervical cancer or vaginal cancer on colposcopy had a normal speculum exam with negative cytology prior to the procedure.
Colposcopy can be performed by a physician, nurse practitioner, or physician assistant who has had specialized training. Societyfor colposcopy andcervicalpathology asccp, and american society for clinical pathology ascp, which was attended by 25 organizations. Frequently, colposcopies are ordered after a woman has abnormal pap smear result. A colposcopy is a procedure which provides a magnified view of your cervix, vaginal tissues, and vulvar areas. An introduction to invasive cancer of the uterine cervix. Colposcopy use has provided a less radical means of diagnosis and developed new ways of treating premalignant diseases of the cervix. The designations employed and the presentation of the material in this publication do not imply the. In short, there is limited evidence to base recommendations on colposcopy for women with. Colposcopy is facilitated by the pregnancyinduced eversion of the normal cervical ectropion.
Winner of the standing ovation award for best powerpoint templates from presentations magazine. Ppt colposcopy powerpoint presentation free to view id. World health organization international agency for research on cancer. The doctor checks the cervix for any unusual changes to the cells. A colposcopy is a close examination of the cervix and vagina. Guidelines colposcopy and pap smear triage guidelines. Colposcopy is performed similar to a routine pelvic examination, while you lie on an exam table. Informed consent form on clipboard colposcopy worksheet nonsterile gloves chux pads colposcope minipad 25 g 1. One retrospective study of 314 women with postcoital bleeding seen by a gynecologic service found that 20% of women diagnosed with cervical cancer or vaginal cancer on colposcopy had a normal speculum exam with negative cytology prior to the procedure. Cervical cancer occurs when abnormal cells on the cervix grow out of control.
Roughly 70% of ascus paps are related to vaginitis, atrophy, granulation tissue. Teamstepps in primary care and outpatient settings ppt. These comprehensive standards are evidence based and fill an important gap for clinicians managing women with abnormal cervical cancer screening tests. Asccp co shs services, llc 1 rollins ave, suite 2 rockville, md 20852. Presentazione di powerpoint european federation for colposcopy. World health organization international agency for research. This issue of the journal of lower genital tract disease contains the new asccp colposcopy standards. Colposcopy and treatment of cervical intraepithelial. Using a colposcope the instrument used during the procedure as well as applying a vinegar solution to your cervix, your doctor will be able to determine if you need a cervical biopsy. It is fortunate that over 80% of these cases are stage i at presentation. The cervix is the lower part of the uterus that opens into thevagina. Draw lidocaine into 12 ml syringe, attach needle extender and 25 g 1. Management algorithms for abnormal cervical cytology and. Cervical cancer screening and colposcopy during pregnancy iv.
Jun 06, 2016 asccp management guidelines august 2014 ppt. Vaginal and vulvar colposcopy university of michigan. Colposcopy is a diagnostic procedure in which a colposcope a dissecting microscope with various magnification lenses is used to provide an illuminated, magnified view of the cervix, vagina, vulva, or anus picture 1 1. Reprinted by permission of the american cancer society, inc. Small tissue samples may have been taken for further examination and testing.
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