Atlas of Colposcopy: Principles and Practice

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Condyloma / Condyloma
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  • Age: 43
  • HPV status: Negative

  • After normal saline

    After acetic acid

    After acetic acid

    After acetic acid with green filter

    After Lugolís iodine

    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)


    Suspicious for invasion

    Miscellaneous finding

    Swede score:

    Swede score
    Aceto uptake
    Nil or transparentThin, milkyDistinct, stearin
    Nil or diffuseSharp but irregular, jagged, satellitesSharp and even, difference in level
    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: 1

    Case Summary
    Provisional diagnosis: Type 3 transformation zone; condyloma.
    Management: Repeat colposcopy after 12 months.
    Histopathology: Not done.
    Comment: The lesions are in the cervix as well as the vagina. The raised margin, the finger-like projection with a single capillary at the centre of each projection, and the absence of acetowhitening are the characteristics of papilliferous condyloma.

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