Table 1:
General assessment | • Adequate/inadequate for the reason… (i.e.: cervix obscured by inflammation, bleeding, and scar) • Squamocolumnar junction visibility: Completely visible, partially visible, not visible • Transformation zone types 1,2,3 |
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Normal colposcopic findings | Original squamous epithelium: • Mature • Atrophic Columnar epithelium • Ectopy Metaplastic squamous epithelium • Nabothian cysts • Crypt (gland) openings Deciduosis in pregnancy |
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Abnormal colposcopic findings | General principle | Location of the lesion: Inside or outside the T-zone Location of the lesion by clock position Size of the lesion: • Number of cervical quadrants the lesion covers • Size of the lesion in percentage of cervix |
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Grade 1 (Minor) | Thin AW epithelium Irregular, geographic border |
Fine mosaic Fine punctuation |
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Grade 2 (Major) | Dense acetowhite epithelium Rapid appearance of acetowhitening, cuffed crypt (gland) openings |
Coarse mosaic Coarse punctation Sharp border Inner border sign Ridge sign |
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Non specific | Leukoplakia (keratosis, hyperkeratosis), erosion Lugol’s staining (Schiller’s test): Stained/non-stained |
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Suspicious for invasion | Atypical vessels Additional signs: Fragile vessels, irregular surface, Exophytic lesion, Necrosis, Ulceration (necrotic), tumor/gross neoplasm |
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Miscellaneous finding | Congenital transformation zone Condyloma Polyp (ectocervical/endocervical) Inflammation |
Stenosis Congenital anomaly Post-treatment consequence Endometriosis |