Colposcopy :A Practical Guide

Publication subTitle :A Practical Guide

Author: Mahmood Shafi; Saloney Nazeer  

Publisher: Cambridge University Press‎

Publication year: 2012

E-ISBN: 9781139369398

P-ISBN(Paperback): 9781107667822

Subject: R71 Obstetrics and Gynaecology

Keyword: 妇产科学

Language: ENG

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Colposcopy

Description

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.

Chapter

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

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