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Atlas of colposcopy principles and practice

Documentation of colposcopic findings

  

The colposcopic findings should be documented using the nomenclature of the International Federation of Cervical Pathology and Colposcopy (2011 IFCPC nomenclature):





A diagrammatic representation of the colposcopic findings should be made, as shown below:




  • Draw two concentric circles.
  • The outer circle represents the boundary of the cervix, and the inner circle represents the external os.
  • The circle is divided into four quadrants by two perpendicular lines.
  • Draw the lesion, showing its position in relation to the quadrants and the external os.
  • The following legends are used as applicable: AW, acetowhite; P, punctation; M, mosaic; AV, abnormal vessels; I, iodine-negative.
  • The site of biopsy is marked by an x.



The Swede score should be calculated based on the following five characteristics:




Swede score (minimum, 0; maximum, 10):
  • Total score 04: normal/CIN1
  • Total score 56: CIN2/CIN3
  • Total score 710: CIN3/cancer.


Finally, a provisional diagnosis should be made from any of the following categories:
  • normal
  • condyloma/subclinical papillomavirus infection (SPI)
  • low-grade squamous intraepithelial lesion (LSIL)
  • high-grade squamous intraepithelial lesion (HSIL)
  • adenocarcinoma in situ
  • squamous cell cancer
  • adenocarcinoma
  • other.
The details of how to diagnose these individual conditions are discussed in subsequent sections.






























  
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