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

Bar Ilan University, Gan, Tel Aviv, Israel
Obstetrics and Gynecology (Impact Factor: 5.18). 07/2012; 120(1):166-72. DOI: 10.1097/AOG.0b013e318254f90c
Source: PubMed


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.

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    • "A 2-cm vascularised tumour outgrowth, indurated and bleeding, was found on investigation (Figure 1); colposcopy revealed an area of type 1 changes [7], with a vascularised lesion approximately 2 cm in diameter, extending from the cervical canal to the posterior labium; this was biopsied. A histopathological analysis of the specimen showed it to be a clear cell adenocarcinoma (Figure 2) with a Ki67 index of 60%, low-to-moderate nuclear immunoreactivity for p53 and cytokeratin 7, and negative hormone receptors. "
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    Full-text · Article · Nov 2013 · ecancermedicalscience
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    • "The “see and wait” policy requires the complete mapping of the lesion, and the evaluation of the HPV DNA or of the p16 immunostaining (3-5). Colposcopic examination allows to evaluate lesions and their progression or regression (6-10) but, it has its own limitation when the examination is unsatisfactory (or inadequate, according to the new colposcopic terminology), that is when the squamocolumnar junction (SCJ) is not completely evaluable or the lesion extends inside the cervical canal (11). A different and frequent condition is the adequate and negative colposcopy in patients with abnormal cytology. "
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    • "In the area of basic training, we are considering the idea of training sessions specifically tailored to the needs of non-experienced colposcopists who are candidates to replace those going to retire. From many points of view, however, the most interesting perspective is to undertake a large interobserver agreement study among Italian colposcopists in which the focus is on the IFCPC classification of 2011 [39]. "
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