This new, fully revised edition of Colposcopy: A Practical Guide is a state-of-the-art guide to colposcopy, directly applicable to daily clinical practice, and a key text for all those involved in the screening and management of women with cervical cytological abnormalities. All chapters have been updated for this new edition with the latest nomenclature, staging, classification and evidence-based treatment guidelines, as well as important new material on HPV testing and vaccination. Concise text is enhanced by full-colour illustrations and flow-diagrams throughout. Colposcopy: A Practical Guide is essential reading for the British Society for Colposcopy and Cervical Pathology colposcopy training programme and is also an important practical guide for all gynaecologists, nurse colposcopists and gynaecological oncologists.
A concise, practical guide, with take-home messages for each chapter
Colour illustrations and flow diagrams aid quick and accurate treatment of patients
Written by leading gynaecologists and gynaecological oncologists, offering a definitive guide based on international experience
Awards
Winner, First Prize, Obstetrics and Gynaecology Category, British Medical Association Book Awards 2013
Reviews & endorsements
'… very accessible … it is a concise, fast read supplying the information required in a quick and efficient way …' Journal of Family Planning and Reproductive Health Care
Author(s): Mahmood Shafi, Saloney Nazeer
Edition: 2
Publisher: Cambridge University Press
Year: 2012
Language: English
Tags: Colposcopy; Reproductive Medicine & Technology; Obstetrics & Gynecology
Colposcopy: A Practical Guide: Second Edition
Title
Copyright
Dedication
Contents
Foreword
Preface
Acknowledgements
Glossary of terms
Chapter 1 Basic principles of colposcopy
Indications for colposcopy
How to choose a colposcope
The following instruments should be available
Technique of colposcopy
Learning points
Chapter 2 The normal cervix and colposcopic appearance
Squamous epithelium
Columnar epithelium
Squamocolumnar junction
Metaplasia
The transformation zone
Ectropion
Pathophysiology at different stages in a woman’s life
Learning points
Chapter 3 Natural history of cervical carcinoma, HPV, and vaccination
Natural history
Determinants of disease progression or regression
Human papilloma virus
HPV vaccination
Currently available HPV vaccines
Learning points
Chapter 4 Colposcopic appearance of CIN
Atypical transformation zone
Cytological and histological parameters (nomenclature) of CIN
Colposcopic parameters and their relative importance
Leukoplakia
Acetowhite epithelium
Classification systems of cervical intraepithelial neoplasia compared
Iodine negativity
Vascular patterns
Colposcopic features suggestive of low-grade disease (minor change)
Colposcopic features suggestive of high-grade disease (major change)
Colposcopic features suggestive of invasive cancer
Grading systems
Clinico-colposcopic index – CCI (Shafi–Nazeer index)
Vaginal extension of CIN
Endocervical extension of TZ
Miscellaneous findings
Unsatisfactory colposcopy
Nomenclature
Summary
Learning points
Chapter 5 Colposcopic directed biopsies
Punch biopsy
Wedge biopsy
Cone biopsy
Endocervical curettage
Fixation
Learning points
Chapter 6 Invasive cervical disease
Colposcopic appearance
Staging
Procedures permitted for clinical staging
Five-year survival by stage for cervical cancer
FIGO staging and tumor, node, metastasis (TNM) categories for carcinoma of the cervix uteri
Regional lymph nodes (N)
Distant metastases (M)
Notes about the staging for cervical carcinoma
Learning points
Chapter 7 Glandular disease
Cytological classification
Classification of precancerous lesions
Differential diagnosis
Colposcopic appearance
Management
Issues
Learning points
Chapter 8 Inflammatory and infective conditions of the cervix and anogenital tract
Human papilloma virus
HPV and CIN differential diagnosis
Treatment options for HPV infections
Herpes simplex virus
Actinomyces-like organisms
Trichomoniasis
Candidiasis
Chlamydia trachomatis
Bacterial vaginosis
Chronic cervicitis
Nabothian cysts
Learning points
Chapter 9 Management techniques
Requirements for ablative treatment
Cryotherapy
Cold coagulation
Electrodiathermy
Laser
Excisional techniques
Indications for excision of the TZ
Excisional methods
Diathermy loop excision and cone biopsy
Laser excision
Cold-knife cone biopsy
Hysterectomy
Learning points
Chapter 10 Follow-up after treatment
Objectives of follow-up
Method of follow-up
Post-treatment complications
Residual or persistent disease
Risk factors for treatment failure
Recurrent disease
Duration of follow-up
Learning points
Chapter 11 Vaginal abnormalities
Classification
Colposcopic appearance
Nomenclature
Colposcopy of the vaginal vault after hysterectomy
Vaginal biopsy
Management of VaIN
Treatment options for VaIN
Other vaginal lesions
Learning points
Chapter 12 Vulvar disease
Classification of the International Society for Study of Vulvovaginal Disease (ISSVD)
Colposcopy of vulva – vulvoscopy
Biopsy of vulva
Vulvar carcinoma
Vulvar intraepithelial neoplasia
Treatment modalities for VIN
Lichen sclerosus
Squamocellular hyperplasia
Paget’s disease
HPV lesions (vulvar warts/condylomas)
Learning points
Chapter 13 Pregnancy and puerperium
Normal cervix in pregnancy and puerperium
Cytohistological changes
CIN in pregnancy
Puerperium
Learning points
Chapter 14 Menopause, contraception, immunosuppression, HIV, and smoking
Menopause
Colposcopic appearance
Contraception
Immunosuppression
Human immunodeficiency virus
Smoking
Learning points
Further reading
Index
