Article

2011 Colposcopic Terminology of the International Federation for Cervical Pathology and Colposcopy

Bar Ilan University, Gan, Tel Aviv, Israel
Obstetrics and Gynecology (Impact Factor: 4.37). 07/2012; 120(1):166-72. DOI: 10.1097/AOG.0b013e318254f90c
Source: PubMed

ABSTRACT New colposcopy terminology was prepared by the Nomenclature Committee of the International Federation of Cervical Pathology and Colposcopy after a critical review of previous terminologies, online discussions, and discussion with national colposcopy societies and individual colposcopists. This document has been expanded to include terminology of both the cervix and vagina. The popular terms "satisfactory colposcopy" and "unsatisfactory colposcopy" have been replaced. The colposcopic examination should be assessed for three variables: 1) adequate or inadequate, with the reason given; 2) squamocolumnar junction visibility; and 3) transformation zone type. Other additions were the localization of the lesion to either inside or outside the transformation zone and determinants of size as well as location of cervical lesions. Two new signs were included in the terminology-the "inner border sign" and "ridge sign." The following definitions have been added: congenital transformation zone, polyp (ectocervical or endocervical), stenosis, congenital anomaly, and posttreatment consequence. In addition, the terminology includes standardization of cervical excision treatment types and cervical excision specimen dimensions. The International Federation of Cervical Pathology and Colposcopy recommends that the 2011 terminology replace all others and be implemented for diagnosis, treatment, and research.

1 Follower
 · 
336 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aimed to present the clinical and colposcopic terminology of the vulva (including the anus) of the International Federation of Cervical Pathology and Colposcopy. The terminology has been developed by the International Federation of Cervical Pathology and Colposcopy Nomenclature Committee during 2009-2011. The terminology is part of a comprehensive terminology of the lower genital tract, allowing for standardization of nomenclature by colposcopists, clinicians, and researchers taking care of women with lesions in these areas. The terminology includes basic definitions and normal findings that are important for the clinician lacking experience with management of vulvar disease. This terminology introduces definitions for abnormal findings recently accepted by the International Society for the Study of Vulvovaginal Disease and includes patterns to identify malignancy. The terminology differs from past terminologies in that it includes colposcopic patterns and anal colposcopy. Nevertheless, the role of the colposcope in the management of vulvar disease is limited.
    Journal of Lower Genital Tract Disease 05/2012; 16(3):290-5. DOI:10.1097/LGT.0b013e31825934c7 · 1.11 Impact Factor
  • Obstetrics and Gynecology 07/2012; 120(1):9-11. DOI:10.1097/AOG.0b013e31825bd729 · 4.37 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVE: To assess the impact of large loop excision of the transformation zone (LLETZ) for cervical intraepithelial neoplasia (CIN) on cervical morphology as assessed by three-dimensional ultrasound. DESIGN: Prospective observational study. SETTING: University Hospital in Dublin. POPULATION: Women with CIN who underwent an LLETZ procedure. METHODS: All 106 participants had a three-dimensional transvaginal ultrasound scan (3DTVS) performed immediately before and 6 months after LLETZ. The excised LLETZ specimen dimensions were also recorded. Blind analysis of the images was performed. The volume of the uterus and cervix was documented. MAIN OUTCOME MEASURES: The relationship between the extirpated LLETZ dimensions and subsequent cervical and uterine biometry, as assessed by 3DTVS. RESULTS: LLETZ induced a statistically significant reduction in both the length (mean, -0.46 cm; P < 0.001) and the volume (-6.12 cm(3) ; P < 0.001) of the uterus, and in the volume of the cervix (-1.60 cm(3) ; P < 0.001). The volume of the excised specimen had a significant impact on the reduction of the length of the uterus (β, -0.038; P = 0.012), the volume of the uterus (β, -0.791; P = 0.036) and the volume of the cervix (β, -0.121; P = 0.046). The circumference of the excised specimen appeared to have a significant impact on the length (β, -0.016; 95% CI, -0.028 to -0.003; P = 0.013) and volume (β, -0.413; 95% CI, -0.719 to -0.107; P = 0.009) of the uterus 6 months after LLETZ. CONCLUSIONS: The volume of tissue removed at LLETZ is related to the subsequent cervical volume, as well as the uterine length and volume, 6 months after the procedure.
    BJOG An International Journal of Obstetrics & Gynaecology 12/2012; 120(4). DOI:10.1111/1471-0528.12105 · 3.86 Impact Factor
Show more