Home

Atlas of Colposcopy: Principles and Practice

Filter by language: English / 中文

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



  

  • Age: 50
  • HPV status: Positive


  • After normal saline

    After normal saline with green filter

    After acetic acid

    Visualization of the SCJ

    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 invasive cancer likely to be squamous in nature.
      
    Management: Punch biopsy and endocervical curettage.
      
    Histopathology: Invasive squamous cell carcinoma.
    Comment: This case highlights the importance of endocervical assessment if the squamocolumnar junction is not fully visualized. The ectocervical lesion appeared as HSIL, and the cancer was confined to the canal.


      
    IARC, 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France - Tel: +33 (0)4 72 73 84 85 - Fax: +33 (0)4 72 73 85 75
    © IARC 2021 - Terms of use  -  Privacy Policy.