Colposcopy is performed similar to a routine pelvic examination, while you lie on an exam table. A biopsy of the cervix is the removal of a small piece or pieces of tissue from the cervix using a specially designed instrument. Colposcopy and treatment of cervical intraepithelial. Repeat colposcopy no more frequently than every 12 weeks re. In short, there is limited evidence to base recommendations on colposcopy for women with. Reprinted by permission of the american cancer society, inc. The primary goal of colposcopy is to identify precancerous and cancerous lesions so that they may be treated early. Jan 01, 2008 a leaflet to send to women referred for colposcopy, after an abnormal cervical screening result. Basic principles and diagnostic of colposcopy article pdf available in berkala ilmu kedokteran 472. Colposcopy and cervical intraepithelial neoplasia sciencedirect. Small tissue samples may have been taken for further examination and testing. Its a quick and easy way to find cell changes in your cervix that may turn into cancer.
The asccp colposcopy standards recommendations address the role of colposcopy and directed biopsy for cervical cancer prevention in the united states. A leaflet to send to women referred for colposcopy, after an abnormal cervical screening result. Ppt colposcopy powerpoint presentation free to view. Cervical cancer screening and colposcopy during pregnancy iv. Presentazione di powerpoint european federation for colposcopy. Cervical cancer can often be successfully treated when its found early. Colposcopy free download as powerpoint presentation. Colposcopy with biopsies colposcopy, a magnified examination of the cervix, was done today to detect any abnormalities. Guidelines colposcopy and pap smear triage guidelines. Societyfor colposcopy andcervicalpathology asccp, and american society for clinical pathology ascp, which was attended by 25 organizations. Informed consent form on clipboard colposcopy worksheet nonsterile gloves chux pads colposcope minipad 25 g 1.
The goal in the evaluation of the lesions is to exclude the possibility of malignancy. It is usually found at a very early stage through a pap test. Colposcopy refer to bc cancer impression negative or cin 1, 2, 3 colposcopy q 34 months. A colposcopy is a procedure performed in our office during which your doctor will use a special microscope to provide an illuminated, magnified view of the cervix and vagina. This issue of the journal of lower genital tract disease contains the new asccp colposcopy standards. A colposcopy is a procedure which provides a magnified view of your cervix, vaginal tissues, and vulvar areas. Colposcopy can be performed by a physician, nurse practitioner, or physician assistant who has had specialized training. Shafi and saloney nazeer excerpt more information chapter1basic principles of colposcopy atypical cervical cytology or positive test for highrisk human papilloma virus hrhpv, especially if it is persistent, may indicate the presence of abnormality on the cervix. Colposcopy is used to follow up abnormal cervical cancer screening tests eg, pap smear, human papilloma virus hpv testing or abnormal. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. The cervix is the lower part of the uterus that opens into thevagina.
A lighted instrument called a colposcope is used to closely examine the cervix. Colposcopy patient guide what is a biopsy of the cervix. Hinselmann during the 1920s he sought to prove that microscopic examination of the cervix would detect cervical cancer earlier than 4 cm his work identified several atypical appearances which are still used today. With the advent of the pap smear, the incidence of cervical cancer has dramatically declined. Asccp co shs services, llc 1 rollins ave, suite 2 rockville, md 20852. Jun 17, 2014 one retrospective study of 314 women with postcoital bleeding seen by a gynecologic service found that 20% of women diagnosed with cervical cancer or vaginal cancer on colposcopy had a normal speculum exam with negative cytology prior to the procedure. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Teamstepps in primary care and outpatient settings ppt. The new screening recommendations address ageappropriate screening strategies, including the use of cytology and highrisk human papillomavirus hpv testing, followup e. Ppt colposcopy powerpoint presentation free to view id. Satisfactory colposcpies are those in which the lesion and the scj can be seen in entirety.
A colposcopy is a close examination of the cervix and vagina. Colposcopy is a way to get a closeup look at your cervix. Colposcopy is done when results of cervical cancer screening tests show abnormal changes in the cells of the cervix. Management algorithms for abnormal cervical cytology and. Draw lidocaine into 12 ml syringe, attach needle extender and 25 g 1.
Colposcopy takes approximately 5 to 10 minutes, can be performed during an office visit, and causes minimal discomfort. Cervical cancer india pdf ppt case reports symptoms. However, pregnancy results in dramatic alterations in the colposcopic appearance of the cervix, the most significant changes resulting from the elevated levels of circulating estrogen, which produces a significant increase in cervical volume through. American cancer society, american society for clinical. The doctor checks the cervix for any unusual changes to the cells. These comprehensive standards are evidence based and fill an important gap for clinicians managing women with abnormal cervical cancer screening tests. Cervical cancer is one of the most common cancers in women. Vaginal and vulvar colposcopy university of michigan. One retrospective study of 314 women with postcoital bleeding seen by a gynecologic service found that 20% of women diagnosed with cervical cancer or vaginal cancer on colposcopy had a normal speculum exam with negative cytology prior to the procedure. Roughly 70% of ascus paps are related to vaginitis, atrophy, granulation tissue. The story of catherine catherine presented for routine gynecologic care in june 20 and was found to have had an abnormal pap smear from. Colposcopy use has provided a less radical means of diagnosis and developed new ways of treating premalignant diseases of the cervix.
Scribd is the worlds largest social reading and publishing site. Cervical cancer occurs when abnormal cells on the cervix grow out of control. World health organization international agency for research. It lets your doctor or nurse get a closeup look at your cervix the opening to your uterus. Full text full text is available as a scanned copy of the original print version. World health organization international agency for research on cancer. Jun 06, 2016 asccp management guidelines august 2014 ppt. The tissue will be sent to a laboratory where it will be examined under a microscope. We use your linkedin profile and activity data to personalize ads and to show you more relevant ads.
During the procedure, your doctor may take biopsies of abnormal tissue. Other uses of colposcopy include evaluation of cervical, vaginal, and vulvar. Using a colposcope the instrument used during the procedure as well as applying a vinegar solution to your cervix, your doctor will be able to determine if you need a cervical biopsy. Colposcopy has gained widespread acceptance in the united states only in the last ten years and today is considered standard practice for evaluating women with abnormal pap smears. The designations employed and the presentation of the material in this publication do not imply the.
Colposcopy colposcopy is the direct magnified inspection of the surface of a womans genital area, including the cervix, vagina, and vulva using a light source and colposcope. The trends in the incidence of cervical cancer in different countries relate largely to the availability, quality and coverage of screening programmes, as well as exposure to human papillomavirus hpv and other risk factors, which reflect sexual habits, cultural and socioeconomic influences. It is fortunate that over 80% of these cases are stage i at presentation. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. A practical guide is a stateoftheart guide to colposcopy, directly applicable to daily clinical practice, and a key text for all those involved in. Frequently, colposcopies are ordered after a woman has abnormal pap smear result. The colposcope looks like a pair of binoculars mounted on a pedestal with a light attached. Colposcopy and treatment of cervical intraepithelial neoplasia. The curve has been stable for the past decade because we are not reaching the unscreened population. Colposcopy is a method used to detect cervical cancer. Why to have terminology and standards in colposcopy. Colposcopy is facilitated by the pregnancyinduced eversion of the normal cervical ectropion.
24 1437 959 217 368 1045 1464 3 112 720 932 1220 566 235 357 602 1518 1622 1306 504 1667 1009 276 777 1359 160 493 669