scholarly journals Colposcopy Findings In High-Grade Cervical Precancer Lesion

2020 ◽  
Vol 4 (2) ◽  
pp. 225-233
Author(s):  
Andi Friadi

Cervical precancer lesion can generally be seen in the transformation zone. Colposcopy allows us to see an image of enlarge precancer lesion in the transformation zone. The colpocopist should consider some important things to determine the appearance of low-grade lesion or high-grade lesion. Two important things are the description of abnormal epithelium and the description of abnormal blood vessels. The description of the abnormal epithelial seen after administration of acetic acid 3-5%,  acetowhite looks faster and disappears slower. The “white” lesion is more concentrated like the color of shells, with clear border and surface contour. To find the abnormal blood vessels more clearly, we can use the green filter. High-grade lesion shows rough mosaic and rough punctation or both. In addition, finding the cervical blood vessels can help us to determine high-grade lesion. By understanding the description of the epithelial cervix and abnormal blood vessels , we will easily distinguish high-grade lesions from low grade lesion.  Keywords: cervical precancer, colposcopy findings

2020 ◽  
Vol 4 (2) ◽  
pp. 194-202
Author(s):  
Andi Friadi

Cervical precancer lesion can generally be seen in the transformation zone. Colposcopy allows us to see an image of enlarge precancer lesion in the transformation zone. The colpocopist should consider some important things to determine the appearance of low-grade lesion or high-grade lesion. Two important things are the description of abnormal epithelium and the description of abnormal blood vessels. The description of the abnormal epithelial seen after administration of acetic acid 3-5%,  acetowhite looks faster and disappears slower. The “white” lesion is more concentrated like the color of shells, with clear border and surface contour. To find the abnormal blood vessels more clearly, we can use the green filter. High-grade lesion shows rough mosaic and rough punctation or both. In addition, finding the cervical blood vessels can help us to determine high-grade lesion. By understanding the description of the epithelial cervix and abnormal blood vessels , we will easily distinguish high-grade lesions from low grade lesion.  Keywords: cervical precancer, colposcopy findings


2011 ◽  
Vol 22 (3) ◽  
pp. 145 ◽  
Author(s):  
Methasinee Pothisuwan ◽  
Kamol Pataradool ◽  
Siriwan Tangjitgamol ◽  
Sunamchok Srijaipracharoen ◽  
Sumonmal Manusirivithaya ◽  
...  

2018 ◽  
Vol 24 (2) ◽  
pp. 229-237
Author(s):  
Birgitte Baldur-Felskov ◽  
Julius Mwaiselage ◽  
Mette Tuxen Faber ◽  
Myassa Kjaerem ◽  
Cecilie Dovey de la Cour ◽  
...  

2011 ◽  
Vol 55 (5) ◽  
pp. 421-425 ◽  
Author(s):  
Maria Teresa Roncaglia ◽  
Maricy Tacla ◽  
Eduardo Vieira da Motta ◽  
Hélio Caiaffa ◽  
Alexandre Ab’Saber ◽  
...  

Cytopathology ◽  
2018 ◽  
Vol 30 (1) ◽  
pp. 99-104
Author(s):  
Sheila E. Segura ◽  
Gloria Ramos-Rivera ◽  
Laleh Hakima ◽  
Mark Suhrland ◽  
Samer Khader

2008 ◽  
Vol 44 (6) ◽  
pp. 471-473 ◽  
Author(s):  
Amit Agrawal ◽  
D.N. Balpande ◽  
A. Khan ◽  
S.J. Vagh ◽  
Samarth Shukla ◽  
...  

Author(s):  
Stephanie Hein de Carvalho ◽  
Dayana Aparecida Nacimento Rosa ◽  
André Luis Ferreira Santos ◽  
Andréa Paula Peneluppi de Medeiros

Abstract Objective To describe the referral for colposcopy in a Hospital in Brazil and the relative frequency of patients who benefited from it, considering the correct indications for the examination and its final diagnoses. Methods A retrospective study was performed in the colposcopy service database of the Hospital Universitário de Taubaté, Taubaté, state of São Paulo, Brazil. The frequency validated in the analysis of the medical records of women referred for clinical indication or cytological alteration, attended from March 2015 to March 2017. The population selected and analyzed included 256 results that were correlated to the cytological, clinical data and the result of the colposcopy. Results Of the women referred, 45% presented out of the age of screening according to the guidelines of cervical cancer screening, 8.6% being adolescents and young adults < 25 years old, and 36.4% of the patients being ≥ 65 years old. A total of 50% of the patients had no indication of colposcopy, that is, normal cytologies, benign changes, ectopia, cervicitis, atypical squamous cells of indeterminate significance (ASC-US) and low-grade intraepithelial lesion (LSIL) without persistence and normal clinical appearance. A total of 39.84% who underwent colposcopy had high-grade lesion or cancer results, thus benefiting from the adequate referral. Conclusion Most (60.16%) of the patients referred to the colposcopy service did not benefit from the referral for results without changes, such as negative colposcopies, histologies with no cervical intraepithelial neoplasm (CIN) or only CIN 1, or were out of the age for screening. These findings therefore demonstrate a significant number of unnecessary and inadequate referrals.


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