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Atlas of colposcopy principles and practice


Search with IFCPC criteria

- General assessment:
Adequacy:
Squamo-columnar junction visibility:
Transformation zone:
- Normal colposcopic findings:
Original squamous epithelium:
Columnar epithelium:
Metaplastic squamous epithelium:
Deciduosis in pregnancy:
- Abnormal colposcopy findings:
- General principles:
- Position and size:
Location of the lesion:
Location of the lesion by clock position:
No of quadrants:
% cervix:
- Grade 1 (minor):
- Grade 2 (major):
- Non specific:
- Suspicious for invasion:
Miscellaneous finding:


Criteria selected:
Case
Picture
Age
Provisional Diagnosis on
colposcopy
Diagnosis on
histopathology
1
34
Type 1 transformation zone; normal.
Not done.
2
56
Type 3 transformation zone; leukoplakia.
HSIL-CIN3.
3
52
Type 3 transformation zone; suspicion of invasive squamous cell carcinoma.
Invasive squamous cell carcinoma.
4
46
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
5
45
Type 2 transformation zone; normal.
Not done.
6
50
Type 3 transformation zone; suspicion of invasive cancer likely to be squamous in nature.
Invasive squamous cell carcinoma.
7
41
Type 1 transformation zone; cervicitis.
Not done.
8
35
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL) with SPI.
LSIL-CIN1.
9
38
Type 1 transformation zone; subclinical papilloma virus infection (SPI).
LSIL-HPV changes.
10
31
Type 2 transformation zone; SPI.
LSIL-CIN1.
11
52
Type 3 transformation zone; suspicion of invasive squamous cell carcinoma.
Invasive squamous cell carcinoma.
12
42
Type 1 transformation zone; normal.
Not done.
13
32
Type 1 transformation zone; normal.
Normal.
14
30
Type 1 transformation zone; normal with ectropion.
Not done.
15
34
Type 1 transformation zone; normal with ectropion.
Not done.
16
32
Type 1 transformation zone; normal with ectropion.
Not done.
17
28
Type 1 transformation zone; normal with pregnancy-induced changes.
Not done.
18
54
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
Invasive squamous cell carcinoma.
19
56
Type 3 transformation zone; suspicion of squamous cell carcinoma.
Squamous cell carcinoma.
20
54
Type 3 transformation zone; suspicion of invasive cancer.
Invasive squamous cell carcinoma.
21
32
Type 1 transformation zone; congenital transformation zone.
Normal.
22
38
Type 1 transformation zone; congenital transformation zone.
Normal.
23
33
Type 1 transformation zone; congenital transformation zone.
Normal.
24
35
Type 1 transformation zone; normal with ectropion.
Not done.
25
37
Type 1 transformation zone; cervicitis.
Not done.
26
44
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL) (CIN2/CIN3).
HSIL-CIN2.
27
34
Type 1 transformation zone; subclinical papillomavirus infection (SPI).
LSIL-HPV changes.
28
35
Type 1 transformation zone; subclinical papillomavirus infection (SPI).
LSIL-HPV changes.
29
30
Type 2 transformation zone; CIN1 with condylomas.
LSIL-CIN1.
30
36
Type 1 transformation zone; condyloma.
LSIL-HPV changes.
31
37
Type 1 transformation zone; normal.
Not done.
32
34
Type 1 transformation zone; normal.
Normal.
33
30
Type 1 transformation zone; normal.
Not done.
34
32
Type 1 transformation zone; subclinical papilloma virus infection (SPI).
Not done.
35
54
Type 3 transformation zone; suspicion of early invasive squamous cell carcinoma.
Squamous cell carcinoma.
36
40
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
37
35
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
38
41
Recurrence of high-grade squamous intraepithelial lesion (HSIL) after LLETZ.
HSIL-CIN3.
39
47
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
40
50
High-grade squamous intraepithelial lesion (HSIL) on a cervical polyp.
HSIL-CIN3.
41
52
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL); cervical endometriosis.
HSIL-CIN3.
42
48
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
43
52
Type 3 transformation zone; suspicion of early invasive squamous cell carcinoma.
Invasive squamous cell carcinoma.
44
49
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
45
52
Type 3 transformation zone; suspicion of early invasive squamous cell carcinoma.
Invasive squamous cell carcinoma.
46
45
Type 3 transformation zone; suspicion of early invasive cancer.
Invasive squamous cell carcinoma.
47
38
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
48
32
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL) with SPI.
LSIL-CIN1.
49
31
Type 1 transformation zone; congenital transformation zone.
Normal.
50
36
Type 1 transformation zone; subclinical papilloma virus infection (SPI).
LSIL-HPV changes.
51
34
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
LSIL-CIN1.
52
60
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL) of the cervix, vagina, and vulva.
Cervical histopathology was invasive squamous cell cancer, vaginal histopathology was HSIL-VAIN 3, and vulvar histopathology was HSIL-VIN 3.
53
42
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
54
45
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
55
60
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL) of the cervix extending to the vagina.
HSIL-CIN3.
56
32
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
57
50
Type 3 transformation zone; suspicion of early invasive cancer.
HSIL-CIN3.
58
52
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
Microinvasive squamous cell cancer.
59
34
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL) in pregnancy.
HSIL-CIN3.
60
52
Type 3 transformation zone; suspicion of squamous cell carcinoma.
Squamous cell carcinoma.
61
43
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
62
41
Type 1 transformation zone with high-grade squamous intraepithelial lesion (HSIL) and congenital transformation zone.
HSIL-CIN3; LSIL-CIN1 in the anterior lip.
63
53
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
64
46
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
65
38
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
66
49
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
67
42
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
68
46
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
69
47
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
70
44
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
71
41
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
72
42
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
73
34
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
74
38
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
75
41
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
76
41
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
77
37
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
78
33
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
79
36
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL) with SPI.
LSIL-CIN1.
80
34
Type 2 transformation zone; CIN2 with SPI.
LSIL-CIN1.
81
32
Type 1 transformation zone; CIN1 with SPI.
LSIL-CIN1.
82
34
Type 1 transformation zone; normal.
Not done.
83
30
Type 1 transformation zone; normal with evidence of candida infection.
Not done.
84
34
Type 1 transformation zone; normal with evidence of candida infection.
Not done.
85
32
Type 1 transformation zone; normal with evidence of candida infection.
Not done.
86
56
Type 3 transformation zone; suspicion of squamous cell carcinoma.
Squamous cell carcinoma.
87
60
Type 3 transformation zone; suspicion of squamous cell carcinoma.
Squamous cell carcinoma.
88
33
Type 1 transformation zone; normal.
Not done.
89
34
Type 1 transformation zone; normal.
Not done.
90
52
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
91
30
Type 1 transformation zone; normal with pregnancy-induced changes.
Not done.
92
55
Suspicion of invasive cancer, probably adenocarcinoma.
Adenocarcinoma.
93
57
Suspicion of invasive cancer.
Adenocarcinoma.
94
54
Type 3 transformation zone; suspicion of adenocarcinoma.
Adenocarcinoma.
95
52
Type 3 transformation zone; suspicion of adenocarcinoma.
Adenocarcinoma in situ.
96
41
Type 1 transformation zone; residual/recurrent high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
97
35
Type 2 transformation zone; leukoplakia.
LSIL-HPV changes.
98
35
Type 2 transformation zone; leukoplakia (idiopathic).
Normal.
99
38
Type 1 transformation zone; leukoplakia (idiopathic).
Normal.
100
36
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
LSIL-CIN1.
101
56
Type 2 transformation zone; normal cervix with atrophic change.
Not done.
102
48
Type 2 transformation zone; normal cervix with atrophic change.
Normal.
103
60
Type 3 transformation zone; normal cervix with atrophic change.
Not done.
104
34
Type 1 transformation zone; normal.
Not done.
105
30
Type 1 transformation zone; normal.
Not done.
106
40
Type 1 transformation zone; normal with ectropion.
Not done.
107
33
Type 1 transformation zone; low-grade Squamous intraepithelial lesion (LSIL) with ectropion.
Normal.
108
30
Type1 transformation zone; normal with ectropion.
Not done.
109
36
Type 1 transformation zone; normal.
Not done.
110
25
Type 1 transformation zone; normal.
Not done.
111
33
Type 1 transformation zone; normal.
Not done.
112
30
Type 1 transformation zone; normal.
Normal.
113
30
Type 1 transformation zone; normal.
Not done.
114
48
Type 3 transformation zone; suspicion of invasive squamous cell carcinoma.
Microinvasive squamous cell carcinoma.
115
43
Type 3 transformation zone; suspicion of invasive squamous cell carcinoma.
Invasive squamous cell carcinoma.
116
38
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
Microinvasive squamous cell carcinoma.
117
42
Type 1 transformation zone; normal.
Not done.
118
36
Type 1 transformation zone; normal.
Not done.
119
42
Type 1 transformation zone; normal.
Not done.
120
40
Type 1 transformation zone; normal.
Not done.
121
38
Type 1 transformation zone; normal.
Not done.
122
30
Type 1 transformation zone; normal.
Not done.
123
35
Type 1 transformation zone; normal.
Not done.
124
31
Type 1 transformation zone; normal.
Not done.
125
36
Type 1 transformation zone; normal.
Not done.
126
44
Type 1 transformation zone; normal with endocervical polyp.
Mucous polyp.
127
40
Type 1 transformation zone; normal.
Not done.
128
46
Type 1 transformation zone; normal.
Not done.
129
35
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
130
30
Type 1 transformation zone; residual/recurrent high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
131
55
Type 3 transformation zone; normal.
Not done.
132
44
Inadequate colposcopy.
Not done.
133
36
Type 1 transformation zone; normal.
Not done.
134
32
Type 1 transformation zone; normal with pregnancy-induced changes.
Not done.
135
55
Type 3 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
136
49
Type 1 transformation zone; normal with evidence of trichomoniasis.
Not done.
137
34
Type 1 transformation zone; normal with evidence of trichomoniasis.
Not done.
138
42
Type 1 transformation zone; normal.
Not done.
139
38
Type 1 transformation zone; normal with evidence of trichomoniasis.
Not done.
140
34
Type 1 transformation zone; normal with evidence of trichomoniasis.
Normal.
141
31
Type 1 transformation zone; normal.
Normal.
142
52
Tuberculosis ulcer of cervix.
Tuberculosis of cervix with giant cells and granulation tissue.
143
56
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
144
36
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
145
54
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
146
43
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL) with suspected adenocarcinoma in situ.
Adenocarcinoma in situ.
147
30
Type 1 transformation zone; normal.
Not done.
148
32
Type 1 transformation zone; normal.
Not done.
149
38
Type 1 transformation zone; normal.
Not done.
150
36
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
151
39
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
152
56
Type 2 transformation zone; normal.
Not done.
153
56
Type 2 transformation zone; normal.
Not done.
154
38
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL) with SPI.
LSIL-CIN1.
155
40
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
156
42
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
157
37
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
158
35
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
159
50
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
160
52
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
161
48
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
162
43
Type 1 transformation zone; normal.
Not done.
163
38
Type 1 transformation zone; condyloma.
LSIL-HPV changes
164
43
Type 3 transformation zone; condyloma.
Not done.
165
37
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
Normal.
166
33
Type 1 transformation zone; normal.
Not done.
167
29
Type 1 transformation zone; normal.
Not done.
168
36
Type 1 transformation zone; normal.
Not done.
169
30
Type 1 transformation zone; normal.
Normal.
170
34
Type 1 transformation zone; normal.
Not done.
171
30
Type 1 transformation zone; normal.
Not done.
172
40
Type 1 transformation zone; normal.
Normal.
173
33
Type 1 transformation zone; normal.
Not done.
174
32
Type 1 transformation zone; normal.
Not done.
175
40
Type 1 transformation zone; normal.
Not done.
176
40
Type 2 transformation zone; normal.
Not done.
177
30
Type 1 transformation zone; normal.
Not done.
178
42
Type 1 transformation zone; normal.
Not done.
179
36
Type 1 transformation zone; normal.
Not done.
180
42
Type 1 transformation zone; normal.
Not done.
181
45
Type 1 transformation zone; normal.
Not done.
182
54
Type 3 transformation zone; normal.
Not done.
183
32
Type 1 transformation zone; normal.
Not done.
184
35
Type 1 transformation zone; congenital transformation zone.
Normal.
185
45
Type 1 transformation zone; normal with evidence of Trichomonas vaginalis.
Not done.
186
41
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
187
40
Type 1 transformation zone; normal.
Not done.
188
38
Recurrence after LLETZ.
HSIL-CIN3.
189
60
Type 3 transformation zone; suspicion of invasive cancer.
Squamous cell carcinoma.
190
54
Type 3 transformation zone; suspicion of invasion, squamous cell carcinoma.
Squamous cell carcinoma.
191
32
Type 1 transformation zone; low-grade squamous intraepithelial lesion (LSIL).
LSIL-CIN1.
192
55
Type 3 transformation zone; normal.
Not done.
193
40
Type 1 transformation zone; normal.
Normal.
194
38
Type 1 transformation zone; normal.
Not done.
195
37
Type 1 transformation zone; subclinical papillomavirus infection (SPI).
Not done.
196
31
Inadequate colposcopy due to severe vaginal infection.
Not done.
197
42
Type 1 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
198
43
Type 2 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN3.
199
45
Type 3 transformation zone; high-grade squamous intraepithelial lesion (HSIL).
HSIL-CIN2.
200
52
Tuberculosis ulcer of cervix healed.
Normal.
Total record number: 200

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