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
Chapter 1 Basic principles of colposcopy
Indications for colposcopy
How to choose a colposcope
The following instruments should be available
Chapter 2 The normal cervix and colposcopic appearance
Pathophysiology at different stages in a woman’s life
Chapter 3 Natural history of cervical carcinoma, HPV, and vaccination
Determinants of disease progression or regression
Currently available HPV vaccines
Chapter 4 Colposcopic appearance of CIN
Atypical transformation zone
Cytological and histological parameters (nomenclature) of CIN
Colposcopic parameters and their relative importance
Classification systems of cervical intraepithelial neoplasia compared
Colposcopic features suggestive of low-grade disease (minor change)
Colposcopic features suggestive of high-grade disease (major change)
Colposcopic features suggestive of invasive cancer
Clinico-colposcopic index – CCI (Shafi–Nazeer index)
Endocervical extension of TZ
Unsatisfactory colposcopy
Chapter 5 Colposcopic directed biopsies
Chapter 6 Invasive cervical disease
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
Notes about the staging for cervical carcinoma
Chapter 7 Glandular disease
Cytological classification
Classification of precancerous lesions
Chapter 8 Inflammatory and infective conditions of the cervix and anogenital tract
HPV and CIN differential diagnosis
Treatment options for HPV infections
Actinomyces-like organisms
Chapter 9 Management techniques
Requirements for ablative treatment
Indications for excision of the TZ
Diathermy loop excision and cone biopsy
Chapter 10 Follow-up after treatment
Post-treatment complications
Residual or persistent disease
Risk factors for treatment failure
Chapter 11 Vaginal abnormalities
Colposcopy of the vaginal vault after hysterectomy
Treatment options for VaIN
Chapter 12 Vulvar disease
Classification of the International Society for Study of Vulvovaginal Disease (ISSVD)
Colposcopy of vulva – vulvoscopy
Vulvar intraepithelial neoplasia
Treatment modalities for VIN
Squamocellular hyperplasia
HPV lesions (vulvar warts/condylomas)
Chapter 13 Pregnancy and puerperium
Normal cervix in pregnancy and puerperium
Chapter 14 Menopause, contraception, immunosuppression, HIV, and smoking
Human immunodeficiency virus