978-92-832-2458-7
978-92-832-2459-4
This colposcopy manual was developed in the context of the cervical cancer screening research studies of the International Agency for Research on Cancer (IARC) and the related technical support provided to national programmes. It is thus a highly comprehensive manual, both for the training of new colposcopists and for the continuing education and reorientation of those who are more experienced. This manual offers a valuable learning resource, incorporating recent developments in the understanding of the etiology and pathogenesis of cervical intraepithelial neoplasia (CIN), as well as in colposcopy and cervical pathology.
Expertise in performing satisfactory, safe, and accurate colposcopic examinations requires high competence in the technical, interpretive, and cognitive aspects, and the capability to develop pragmatic and effective management plans and treatment. This comprehensive and concise manual covers all these aspects and serves as a useful handbook for acquiring the necessary skills for the visual recognition and interpretation of colposcopic findings and for developing the personal and professional attributes required for competence in colposcopy.
Chapter 1. The role of colposcopy in cervical precancer
Chapter 2. Anatomy of the uterine cervix and the transformation zone
Chapter 3. Squamous intraepithelial lesions: cytology–histology correlation
Chapter 4. The effect of oncogenic HPV on transformation zone epithelium
Chapter 5. Equipment for a colposcopic examination
Chapter 6. A systematic approach to colposcopic examination
Chapter 7. Colposcopic terminology: the 2011 IFCPC nomenclature
Chapter 8. Colposcopic appearance of the normal cervix
Chapter 9. Inflammatory lesions of the cervix
Chapter 10. Colposcopic examination of the abnormal cervix
Chapter 11. Treatment of cervical intraepithelial neoplasia (CIN)
Chapter 12. Glandular abnormalities, adenocarcinoma in situ, and glandular intraepithelial neoplasia
Chapter 13. Microinvasive squamous cervical cancer
Chapter 14. Surgical management of early invasive cervical cancer
Chapter 15. Non-surgical management of cervical cancer
Chapter 16. Follow-up after treatment of cervical intraepithelial neoplasia (CIN)
Chapter 17. Pregnancy, contraception, menopause, and hysterectomy
Chapter 18. Quality assurance: fail-safe protocols and clean equipment
Annex 1. Transformation zone types
Annex 2. Standard form for documenting the examination findings
Annex 3. 2011 IFCPC colposcopic terminology of the cervix
Annex 4. The Swede score
Annex 5. Preparation of 5% acetic acid, Lugol’s iodine solution, and Monsel’s paste