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:
(minimum, 0; maximum, 10):
- Total score 0–4: normal/CIN1
- Total score 5–6: CIN2/CIN3
- Total score 7–10: CIN3/cancer.
Finally, a provisional diagnosis
should be made from any of the following categories:
- condyloma/subclinical papillomavirus infection (SPI)
- low-grade squamous intraepithelial lesion (LSIL)
- high-grade squamous intraepithelial lesion (HSIL)
- adenocarcinoma in situ
- squamous cell cancer
The details of how to diagnose these individual conditions are discussed in subsequent sections.
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