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Atlas of Colposcopy: Principles and Practice

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Early and advanced cancers / Squamous cell cancer  Go back to the list



  

  • Age: 56
  • HPV status: Positive


  • After normal saline

    After normal saline with green filter

    After normal saline with green filter with higher magnification

    After acetic acid

    After acetic acid with green filter

    Colposcopy report (2011 IFCPC nomenclature):


    General assessment
  • Adequacy:
  • Squamocolumnar junction visibility:
  • Transformation zone:

  • Normal colposcopic findings
  • Original squamous epithelium:
  • Columnar epithelium:
  • Metaplastic squamous epithelium:
  • Deciduosis in pregnancy:

  • Abnormal colposcopic findings
    General principles
    Position and size
  • Location of the lesion:
  • Location of the lesion by clock position:
  • No. of quadrants:
  • % of cervix:

  • Grade 1 (minor)

    Grade 2 (major)

    Non-specific

    Suspicious for invasion

    Miscellaneous finding



    Swede score:

    Swede score
    0
    1
    2
    Aceto uptake
    Nil or transparentThin, milkyDistinct, stearin
    Margins
    Nil or diffuseSharp but irregular, jagged, satellitesSharp and even, difference in level
    Vessels
    Fine, regularAbsentCoarse or atypical vessels
    Lesion size
    < 5 mm5-15 mm or 2 quadrants>15 mm, 3-4 quadrants, or endocervically undefined
    Iodine uptake
    BrownFaintly or patchy yellowDistinctly yellow

    Final Swede score: Not possible (Iodine uptake missing)



    Case Summary:

    Provisional diagnosis: Type 3 transformation zone; suspicion of squamous cell carcinoma.
      
    Management: Multiple punch biopsies from the anterior and posterior lips of the cervix.
      
    Histopathology: Squamous cell carcinoma.
    Comment: A raised irregular surface appearing to close the external os is very characteristic of invasive cancer.


      
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