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Colposcopy Findings

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1. Colposcopy Findings

Colposcopy Findings Colposcopy Findings Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Colposcopy Findings Colposcopy Findings Aka (...) : Colposcopy Findings II. Findings: Normal Colposcopy Original Squamous epithelium (OSE) Distal Margin: Proximal Margin: Original Squamocolumnar junction Columnar epithelium (CE) Distal Margin: Squamous metaplasia Proximal Margin: Ectocervix and into Squamous metaplasia (SM) Mature Squamous Metaplasia (MSM) Distal Margin: Original Squamocolumnar Junction Proximal Margin: New Squamocolumnar junction Immature Squamous Metaplasia (ISM) Distal Margin: New Squamocolumnar junction Proximal Margin: Limit

2018 FP Notebook

2. Closer to a Uniform Language in Colposcopy: Study on the Potential Application of 2011 International Federation for Cervical Pathology and Colposcopy Terminology in Clinical Practice (Full text)

Closer to a Uniform Language in Colposcopy: Study on the Potential Application of 2011 International Federation for Cervical Pathology and Colposcopy Terminology in Clinical Practice As the newest colposcopic terminology, the 2011 International Federation for Cervical Pathology and Colposcopy (IFCPC) classification provides standardized interpretation of colposcopic findings. In this study, we analyzed the colposcopic accuracy and the significance of individual findings according to the 2011 (...) IFCPC classification in 525 patients, reviewed by 13 trained colposcopists. Results show that colposcopic diagnoses are in 64.95% perfect agreement with cervical pathology, with 63.64% sensitivity and 96.01% specificity for high-grade squamous intraepithelial lesion (HSIL+). And the accuracy is reproducible across different experienced examiners. Many individual findings, especially the two new signs, inner border sign and ridge sign, are proved to have good predictive accuracy, while iodine

2017 BioMed research international PubMed

3. ASCCP Colposcopy Standards: How do we perform colposcopy? Implications for establishing standards (Full text)

and comprehensive colposcopy practice and evaluated the use of colposcopy adjuncts.The working group performed a systematic literature review to identify best practices in colposcopy methodology and to evaluate the use of available colposcopy adjuncts. The literature provided little evidence to support specific elements of the procedure. The working group, therefore, implemented a national survey of current and recent ASCCP members to evaluate common elements of the colposcopy examination. The findings (...) . These guidelines represent recommended practice in all parts of the examination including the following: precolposcopy evaluation, performing the procedure, documentation of findings, biopsy practice, and postprocedure follow-up.These guidelines are intended to serve as a guide to standardize colposcopy across the United States.

2017 Journal of lower genital tract disease PubMed

4. Adjunctive colposcopy technologies for assessing suspected cervical abnormalities: the DYSIS colposcope with DYSISmap and the ZedScan I

the microscope. Finding dyskaryotic cells suggests the presence of CIN. 2.9 The current management protocols for cervical cytology are described in the third edition of the NHSCSP's colposcopy and programme management guidelines (2016). Currently, people with samples that show high-grade dyskaryosis or worse are referred for colposcopy. If low-grade dyskaryosis is seen, the residual cells collected during the cervical screen are used for high-risk HPV testing to determine whether a colposcopy referral (...) Adjunctive colposcopy technologies for assessing suspected cervical abnormalities: the DYSIS colposcope with DYSISmap and the ZedScan I Adjunctiv Adjunctive colposcop e colposcopy technologies for y technologies for assessing suspected cervical assessing suspected cervical abnormalities: the D abnormalities: the DYSIS colposcope YSIS colposcope with D with DYSISmap and the Z YSISmap and the ZedScan I edScan I Diagnostics guidance Published: 25 April 2018 nice.org.uk/guidance/dg32 © NICE 2018

2018 National Institute for Health and Clinical Excellence - Diagnostics Guidance

5. Colposcopy and additive diagnostic value of biopsies from colposcopy-negative areas to detect cervical dysplasia. (Full text)

-positive biopsy and 39% via a colposcopy-negative biopsy. Eighty-seven of them had positive colposcopy results, but CIN2+ was histologically verified from colposcopy-positive biopsies in 91% (n = 79) and from colposcopy-negative biopsies in 9% (n = 8). The remaining 43 women with CIN2+ had negative colposcopy findings, so their diagnosis was verified in colposcopy-negative biopsies. The sensitivity of colposcopy alone to detect CIN2+ was 61% (95% CI 52-69).In the present study, colposcopy (...) Colposcopy and additive diagnostic value of biopsies from colposcopy-negative areas to detect cervical dysplasia. We evaluated colposcopy in the routine diagnostic workup of women with abnormal cervical cytology, as well as the diagnostic value of endocervical curettage material and biopsies taken from colposcopy-positive and colposcopy-negative quadrants of the cervix.This cross-sectional study included 297 nonpregnant women with abnormal cervical cytology and no prior treatment for cervical

2016 Acta Obstetricia et Gynecologica Scandinavica PubMed

6. Prospective cohort study examining cervical cancer screening methods in HIV-positive and HIV-negative Cambodian Women: a comparison of human papilloma virus testing, visualization with acetic acid and digital colposcopy. (Full text)

Prospective cohort study examining cervical cancer screening methods in HIV-positive and HIV-negative Cambodian Women: a comparison of human papilloma virus testing, visualization with acetic acid and digital colposcopy. Logistical and economic issues make traditional cytology-based cervical cancer screening challenging in developing countries. Alternative, cost-effective, screening strategies must be developed to screen millions of women in resource-poor countries such as Cambodia.A (...) prospective cohort study during which all women underwent four cervical cancer screening methods: (1) self-sampled human papilloma virus (HPV) testing (careHPV system), (2) clinician-collected HPV testing, (3) visualization with acetic acid (VIA) and (4) digital colposcopy (DC) with the Enhanced Visual Assessment System (EVA).A referral hospital in Phnom Penh, Cambodia.Two hundred and fifty Cambodian women (129 HIV+, 121 HIV-). Subjects were recruited from the National Center for HIV/AIDS Dermatology

2019 BMJ open PubMed

7. Follow-up of ASCUS or LSIL: Colposcopy vs repeat cytology

Follow-up of ASCUS or LSIL: Colposcopy vs repeat cytology Follow-up of ASCUS or LSIL: Colposcopy vs repeat cytology – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For women between 22 to 27 years of age who have a pap test showing atypical squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesion (LSIL), following up with repeat cervical cytology at 6 months may be associated with the same rates of invasive cervical cancer at 6.5 (...) years as following up with colposcopy and biopsy at 6 months, at potentially lower cost. Strength of Recommendation = C Advertisements Like this: Like Loading... Categories: Post navigation Simpler, Better Medicine Indexing evidence for "less medical” approaches with better outcomes. Recent entries Search by key words Search for: Search By Strength of Recommendation (SOR) (42) (244) (27) Search by clinical category For regular updates, follow "Less-Is-More" by Email, RSS, or on Wordpress Follow

2017 Less Is More Blog

8. Effect of lidocaine spray during colposcopy-directed cervical biopsy: A randomized controlled trial. (PubMed)

Effect of lidocaine spray during colposcopy-directed cervical biopsy: A randomized controlled trial. We aimed to examine the effect of lidocaine spray in reducing pain during colposcopy-directed cervical biopsy (CDB).Two hundred women with abnormal cervical screening test results and abnormal colposcopic findings that required a CDB during April to December 2015 were enrolled. The participants were randomly assigned into one of two groups. For group 1 (lidocaine group), 10% lidocaine spray (...) in the no-anesthesia group (group 2), P = 0.01 and P = 0.02, respectively. However, the degree of pain was minimal in both groups. There were no complications observed in any participants.Lidocaine spray reduces pain during colposcopy-directed cervical biopsy; however, the clinically meaningful effect of such a procedure cannot be demonstrated in this study.© 2017 Japan Society of Obstetrics and Gynecology.

2018 The journal of obstetrics and gynaecology research

9. Low recurrence rate of high-grade cervical intraepithelial neoplasia after successful excision and routine colposcopy during follow-up. (Full text)

) and cold knife conization (CKC) for histologically proven high-grade CIN were followed up for up to 22 years. Surgical specimens underwent histological examination and the status of endocervical as well as ectocervical margins was recorded. Follow-up protocol included conventional Pap test, colposcopy and pelvic examination at 3, 6, and 12 months after the initial treatment, and every 12 months thereafter, provided that the results were normal. In case of high-grade cytological findings and/or atypical (...) Low recurrence rate of high-grade cervical intraepithelial neoplasia after successful excision and routine colposcopy during follow-up. The aim of the present cohort study was to assess the long-term (follow-up period up to 22 years) recurrence rate of preinvasive disease and the newly detected invasive disease rate in a cohort of women treated with excisional methods for high-grade cervical intraepithelial neoplasia (CIN).Women treated with large loop excision of the transformation zone (LLETZ

2018 Medicine PubMed

10. A prospective study of risk-based colposcopy demonstrates improved detection of cervical precancers. (PubMed)

during follow-up.Risk assessment at the colposcopy visit makes identification of cervical precancers more effective and efficient. Not finding precancer after a multiple-biopsy protocol provides high reassurance and allows releasing women back to regular screening.Published by Elsevier Inc. (...) A prospective study of risk-based colposcopy demonstrates improved detection of cervical precancers. Sensitivity for detection of precancers at colposcopy and reassurance provided by a negative colposcopy are in need of systematic study and improvement.We sought to evaluate whether selecting the appropriate women for multiple targeted cervical biopsies based on screening cytology, human papillomavirus testing, and colposcopic impression could improve accuracy and efficiency of cervical

2018 American Journal of Obstetrics and Gynecology

11. Diagnostic value of the 2011 International Federation for Cervical Pathology and Colposcopy Terminology in predicting cervical lesions (Full text)

Diagnostic value of the 2011 International Federation for Cervical Pathology and Colposcopy Terminology in predicting cervical lesions To evaluate the diagnostic accuracy of the 2011 International Federation for Cervical Pathology and Colposcopy (IFCPC) colposcopic terminology.The clinicopathological data of 2262 patients who underwent colposcopy from September 2012 to September 2016 were reviewed. The colposcopic findings, colposcopic impression, and cervical histopathology of the patients

2018 Oncotarget PubMed

12. Adjunctive colposcopy technologies for assessing suspected cervical abnormalities: systematic reviews and economic evaluation. (Full text)

referrals in a watchful-waiting clinic setting. The incremental cost-effectiveness ratio for ZedScan varied between £272 and £4922 per quality-adjusted life-year. ZedScan also dominated colposcopy alone for high-grade referrals in see-and-treat clinics. These findings appeared to be robust to a wide range of sensitivity and scenario analyses.All but one study was rated as being at a high risk of bias. There was no evidence directly comparing ZedScan with standard colposcopy. No studies directly compared (...) Adjunctive colposcopy technologies for assessing suspected cervical abnormalities: systematic reviews and economic evaluation. Dynamic Spectral Imaging System (DySIS)map (DySIS Medical Ltd, Edinburgh, UK) and ZedScan (Zilico Limited, Manchester, UK) can be used adjunctively with conventional colposcopy, which may improve the detection of cervical intraepithelial neoplasia (CIN) and cancer.To systematically review the evidence on the diagnostic accuracy, clinical effectiveness and implementation

2018 Health technology assessment (Winchester, England) PubMed

13. Colposcopy in Detection of Oral Epithelial Dysplasia

Colposcopy in Detection of Oral Epithelial Dysplasia Colposcopy in Detection of Oral Epithelial Dysplasia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Colposcopy in Detection of Oral Epithelial Dysplasia (...) -being of the participants. B- Index test: The principle investigator (S.B.) will perform the index test using Digital Electronic Colposcope (Kernel, KN-2200, China). Before taking up the patients for Colposcopic evaluation and giving them a score, the normal Colposcopic findings will be standardized based on the Colposcopic criteria. Colposcopic criteria includes aceto uptake, surface pattern and clarity of demarcation of the mucosal lesions, vascular pattern, lesion size as well as Iodine staining

2017 Clinical Trials

14. Reduction in colposcopy workload and associated clinical activity following HPV catch-up vaccination programme in Scotland: an ecological study. (Full text)

and 2014.Routinely collected data from the Scottish National Colposcopy Clinical Information Audit System (NCCIAS) were extracted, including: referral criteria, referral cervical cytology, colposcopic findings, clinical procedures, and histology results. Analysis was restricted to those referred to colposcopy at age 20 or 21 years.Referral criteria, positive predictive value of colposcopy, default rates, and rates of cervical biopsies and treatments.A total of 7372 women referred for colposcopy at age (...) Reduction in colposcopy workload and associated clinical activity following HPV catch-up vaccination programme in Scotland: an ecological study. To measure patterns of clinical activity at colposcopy before and after vaccinated women entered the Scottish Cervical Screening Programme (SCSP).Population-based observational study using nationally collected data.Scottish colposcopy clinics.All women with a date of birth on or after 1 January 1985 who attended colposcopy in Scotland between 2008

2017 BJOG PubMed

15. Diagnosis of Cervical Precancers by Endocervical Curettage at Colposcopy of Women With Abnormal Cervical Cytology. (Full text)

in a colposcopy with up to four ectocervical biopsies was low. Based on our findings, we recommend routine ECC be performed in women aged 45 years old or older with HPV-16 infection and in any woman aged 30 years or older with HSIL or worse or ASC-H cytology, high-grade colposcopic impression, or ASC-US or LSIL cytology and an unsatisfactory examination.ClinicalTrials.gov, NCT00339989. (...) Diagnosis of Cervical Precancers by Endocervical Curettage at Colposcopy of Women With Abnormal Cervical Cytology. To evaluate the performance of routine endocervical curettage (ECC) for diagnosing high-grade cervical intraepithelial neoplasia (CIN) 2 or worse and additional precancers not otherwise detected by ectocervical biopsies.In a secondary analysis of the Biopsy Study, a cross-sectional study conducted between 2009 and 2012 at the University of Oklahoma Health and Sciences Center

2017 Obstetrics and Gynecology PubMed

16. Physical after-effects of colposcopy and related procedures and their inter-relationship with psychological distress: a longitudinal survey. (Full text)

physical after-effects had on average a 4.58 (95% CI: 1.10-8.05) higher distress scored than those who experienced no after-effects. Women who were unaware of the possibility of experiencing after-effects scored significantly higher for distress during follow-up.The prevalence of physical after-effects of colposcopy and related procedures is high. The novel findings of inter-relationships between awareness of the possibility of after-effects and experiencing multiple after-effects, and post-colposcopy (...) Physical after-effects of colposcopy and related procedures and their inter-relationship with psychological distress: a longitudinal survey. To estimate prevalence of post-colposcopy physical after-effects and investigate associations between these and subsequent psychological distress.Longitudinal survey.Two hospital-based colposcopy clinics.Women with abnormal cytology who underwent colposcopy (±related procedures).Questionnaires were mailed to women 4, 8 and 12 months post-colposcopy

2017 BJOG PubMed

17. Post Colposcopy Management of ASC-US and LSIL Pap Tests

to Brief Summary: There is weak evidence supporting optimal follow-up of women with ASC-US or LSIL cytology found to have low grade disease or normal findings at initial colposcopy. Surveillance options include continued colposcopy, discharge with Pap testing, or HPV testing at 12 months. The investigators performed a pilot randomized controlled trial (RCT) comparing these 3 follow-up policies. Study objectives are to determine the feasibility of an RCT and to compare the incidence of >/=HSIL in each (...) Post Colposcopy Management of ASC-US and LSIL Pap Tests Post Colposcopy Management of ASC-US and LSIL Pap Tests - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Post Colposcopy Management of ASC-US and LSIL

2017 Clinical Trials

18. Atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesion triage in Korean women: Revisiting the 2012 American Society of Colposcopy and Cervical Pathology screening guidelines (Full text)

Atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesion triage in Korean women: Revisiting the 2012 American Society of Colposcopy and Cervical Pathology screening guidelines To determine whether triage for atypical squamous cells of undetermined significance (ASC-US) and low-grade squamous intraepithelial lesion (LSIL) from the updated American Society for Colposcopy and Cervical Pathology cervical cancer screening guidelines is applicable in Korean (...) women.We investigated women with ASC-US or LSIL including referred from local hospitals visited for cervical cancer screening at Korea University Guro Hospital from February 2004 to December 2014. Detailed information on the results of Papanicolaou (Pap) smears, human papillomavirus (HPV) DNA tests, and cervical biopsies were collected through chart review. Cervical biopsy results were compared in eligible women according to individual Pap smear findings and HPV DNA status.Of 216,723 possible cases

2017 Obstetrics & gynecology science PubMed

19. Optimization of Classification Strategies of Acetowhite Temporal Patterns towards Improving Diagnostic Performance of Colposcopy (Full text)

Optimization of Classification Strategies of Acetowhite Temporal Patterns towards Improving Diagnostic Performance of Colposcopy Efforts have been being made to improve the diagnostic performance of colposcopy, trying to help better diagnose cervical cancer, particularly in developing countries. However, improvements in a number of areas are still necessary, such as the time it takes to process the full digital image of the cervix, the performance of the computing systems used to identify (...) different kinds of tissues, and biopsy sampling. In this paper, we explore three different, well-known automatic classification methods (k-Nearest Neighbors, Naïve Bayes, and C4.5), in addition to different data models that take full advantage of this information and improve the diagnostic performance of colposcopy based on acetowhite temporal patterns. Based on the ROC and PRC area scores, the k-Nearest Neighbors and discrete PLA representation performed better than other methods. The values

2017 Computational and mathematical methods in medicine PubMed

20. Colposcopy

Colposcopy Colposcopy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Colposcopy Colposcopy Aka: Colposcopy , Colposcopy Protocol II (...) CIN2+ cases only by ECC in just 1% of 13000+ cases Indications Unsatisfactory Colposcopy after low grade CIN finding Evaluation of high grade lesion Evaluation of AGCUS (also requires or other evaluation) Technique Perform last after other biopsies are taken Consider topical benzocaine on swabs Leave in endocervical canal for 30 seconds Kevorkian curette rotated 360 degrees twice Cervical Obtain 3 mm samples at multiple sites Choose sites with acetowhite changes and other findings suggestive of CIN

2018 FP Notebook

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