Atlas of Colposcopy: Principles and Practice

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Quiz

Age: 46
HPV status: Positive

Speculum examination

After normal saline

After acetic acid

After acetic acid with green filter

After Lugol’s iodine

Colposcopy report (2011 IFCPC nomenclature):

IFCPC nomenclature:

- 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):

Thin acetowhite epithelium:

Irregular border:

Geographic border:

Fine mosaic:

Fine punctation:

- Grade 2 (major):

Dense acetowhite epithelium:

Rapid appearance of acetowhite:

Cuffed crypt (gland) openings:

Coarse mosaic:

Coarse punctuation:

Sharp border:

Inner border sign:

Ridge sign:

Rag sign:

- Non specific:

Leukoplakia:

Erosion:

Lugol iodine:

- Suspicious for invasion:

Atypical vessels:

Fragile vessels:

Irregular surface:

Exophytic lesions:

Necrosis:

Ulceration (necrotic):

Tumor, gross neoplasm:

Miscellaneous finding:

Congenital transformation zone:

Condyloma:

Polyp:

Inflammation:

Stenosis:

Congenital anomaly:

Post treatment consequence:

Endometriosis:

Swede Score Search Criteria:

Aceto uptake score:

Margins score:

Vessels score:

Lesion size score:

Iodine uptake score:

Final Swede score:

Case summary:

Provisional diagnosis:

Management:

IFCPC nomenclature:
- 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):
Thin acetowhite epithelium:
Irregular border:
Geographic border:
Fine mosaic:
Fine punctation:
- Grade 2 (major):
Dense acetowhite epithelium:
Rapid appearance of acetowhite:
Cuffed crypt (gland) openings:
Coarse mosaic:
Coarse punctuation:
Sharp border:
Inner border sign:
Ridge sign:
Rag sign:
- Non specific:
Leukoplakia:
Erosion:
Lugol iodine:
- Suspicious for invasion:
Atypical vessels:
Fragile vessels:
Irregular surface:
Exophytic lesions:
Necrosis:
Ulceration (necrotic):
Tumor, gross neoplasm:
Miscellaneous finding:
Congenital transformation zone:
Condyloma:
Polyp:
Inflammation:
Stenosis:
Congenital anomaly:
Post treatment consequence:
Endometriosis:
Swede Score Search Criteria:
Aceto uptake score:
Margins score:
Vessels score:
Lesion size score:
Iodine uptake score:
Final Swede score:
Case summary:
Provisional diagnosis:
Management: