eMedicine Specialties > Obstetrics and Gynecology > General Gynecology

Colposcopy: Multimedia

Author: Stephen A Metz, MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Tufts University School of Medicine; Adjunct Associate Professor, School of Public Health Sciences, University of Massachusetts; Consulting Staff, Baystate Medical Center; Private Practice, Division of Surgery, Hampden County Physician Associates
Contributor Information and Disclosures

Updated: Aug 12, 2008

Multimedia

Normal squamocolumnar junction. Tissue response t...Media file 1: Normal squamocolumnar junction. Tissue response to applied light.
Normal squamocolumnar junction. Tissue response t...

Normal squamocolumnar junction. Tissue response to applied light.

Early metaplastic change of columnar epithelium.Media file 2: Early metaplastic change of columnar epithelium.
Early metaplastic change of columnar epithelium.

Early metaplastic change of columnar epithelium.

Dysplastic epithelium with increased reflectance ...Media file 3: Dysplastic epithelium with increased reflectance of applied light.
Dysplastic epithelium with increased reflectance ...

Dysplastic epithelium with increased reflectance of applied light.

Human papilloma virus (HPV)–infected epithe...Media file 4: Human papilloma virus (HPV)–infected epithelium with increased light reflectance.
Human papilloma virus (HPV)–infected epithe...

Human papilloma virus (HPV)–infected epithelium with increased light reflectance.

Punctation in cervical lesions. Left is fine, rig...Media file 5: Punctation in cervical lesions. Left is fine, right is coarse (likely high grade or invasive).
Punctation in cervical lesions. Left is fine, rig...

Punctation in cervical lesions. Left is fine, right is coarse (likely high grade or invasive).

Mosaicism in cervical lesions; left is fine, righ...Media file 6: Mosaicism in cervical lesions; left is fine, right is coarse (likely high grade or invasive).
Mosaicism in cervical lesions; left is fine, righ...

Mosaicism in cervical lesions; left is fine, right is coarse (likely high grade or invasive).

More on Colposcopy

Overview: Colposcopy
Workup: Colposcopy
Treatment: Colposcopy
Follow-up: Colposcopy
Multimedia: Colposcopy
References

References

  1. Solomon D, Davey D, Kurman R, et al. The 2001 Bethesda System: terminology for reporting results of cervical cytology. JAMA. Apr 24 2002;287(16):2114-9. [Medline].

  2. Wright TC Jr, Massad LS, Dunton CJ, Spitzer M, Wilkinson EJ, Solomon D. 2006 consensus guidelines for the management of women with abnormal cervical cancer screening tests. Am J Obstet Gynecol. Oct 2007;197(4):346-55. [Medline].

  3. Abu J, Davies Q. Endocervical curettage at the time of colposcopic assessment of the uterine cervix. Obstet Gynecol Surv. May 2005;60(5):315-20. [Medline].

  4. ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists. Number 61, April 2005. Human papillomavirus. Obstet Gynecol. Apr 2005;105(4):905-18. [Medline].

  5. ASCUS-LSIL Triage Study (ALTS) Group. Results of a randomized trial on the management of cytology interpretations of atypical squamous cells of undetermined significance. Am J Obstet Gynecol. Jun 2003;188(6):1383-92. [Medline].

  6. Benedet JL, Anderson GH, Boyes DA. Colposcopic accuracy in the diagnosis of microinvasive and occult invasive carcinoma of the cervix. Obstet Gynecol. Apr 1985;65(4):557-62. [Medline].

  7. Cooper K, Evans M, Mount S. Biology and evolution of cervical squamous intraepithelial lesions: a hypothesis with diagnostic prognostic implications. Adv Anat Pathol. Jul 2003;10(4):200-3. [Medline].

  8. Forsberg JG. Cervicovaginal epithelium: its origin and development. Am J Obstet Gynecol. Apr 1 1973;115(7):1025-43. [Medline].

  9. Ho GY, Bierman R, Beardsley L, Chang CJ, Burk RD. Natural history of cervicovaginal papillomavirus infection in young women. N Engl J Med. Feb 12 1998;338(7):423-8. [Medline].

  10. Melnikow J, Nuovo J, Willan AR, Chan BK, Howell LP. Natural history of cervical squamous intraepithelial lesions: a meta-analysis. Obstet Gynecol. Oct 1998;92(4 Pt 2):727-35. [Medline].

  11. Noller K, Wagner A Jr. Colposcopy. In: Sciarra JL, ed. Gynecology and Obstetrics. Vol 1. Philadelphia, Pa: Lippincott, Williams and Wilkins; 2000.

  12. Nucci MR, Crum CP. Redefining early cervical neoplasia: recent progress. Adv Anat Pathol. Jan 2007;14(1):1-10. [Medline].

  13. Papanicolaou G, Traut H. Diagnosis of uterine cancer by the vaginal smear. New York, NY: Commonwealth Fund; 1943.

  14. Stoler MH. The virology of cervical neoplasia: an HPV-associated malignancy. Cancer J. Sep-Oct 2003;9(5):360-7. [Medline].

  15. Wright TC Jr, Massad LS, Dunton CJ, Spitzer M, Wilkinson EJ, Solomon D. 2006 consensus guidelines for the management of women with cervical intraepithelial neoplasia or adenocarcinoma in situ. Am J Obstet Gynecol. Oct 2007;197(4):340-5. [Medline].

Further Reading

Keywords

colposcopy, vagina, cervical cancer, colposcope, Papanicolaou test, Pap smear, human papillomavirus, HPV, transformation zone, TZ, dysplasia, acetic acid, acetowhite epithelium, endophytic lesions of the cervix, exophytic lesions of the cervix, cervical carcinoma, cervical dysplasia, Bethesda system, atypical squamous cell, ASC, atypical squamous cell of undetermined significance, ASCUS, ASCH, low-grade squamous intraepithelial neoplasia, LGSIL, high-grade squamous intraepithelial neoplasia, HGSIL, cervical lesions, cone biopsy of the cervix

Contributor Information and Disclosures

Author

Stephen A Metz, MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Tufts University School of Medicine; Adjunct Associate Professor, School of Public Health Sciences, University of Massachusetts; Consulting Staff, Baystate Medical Center; Private Practice, Division of Surgery, Hampden County Physician Associates
Stephen A Metz, MD, PhD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Society for Colposcopy and Cervical Pathology, American Urogynecologic Society, and Massachusetts Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Serdar H Ural, MD, Associate Professor of Obstetrics and Gynecology and Radiology, Director, Division of Maternal-Fetal Medicine, Medical Director, Labor and Delivery Suite, Penn State University College of Medicine
Serdar H Ural, MD is a member of the following medical societies: American Association of Gynecologic Laparoscopists, American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, American Medical Association, Association of Professors of Gynecology and Obstetrics, and Society for Maternal-Fetal Medicine
Disclosure: GSK Honoraria Speaking and teaching; Ortho Honoraria Speaking and teaching

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

CME Editor

Frederick B Gaupp, MD, Consulting Staff, Department of Family Practice, Hancock Medical Center
Frederick B Gaupp, MD is a member of the following medical societies: American Academy of Family Physicians
Disclosure: Nothing to disclose.

Chief Editor

Michel E Rivlin, MD, Professor, Coordinator of Quality Assurance/Quality Improvement, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine
Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, and Royal College of Surgeons of Edinburgh
Disclosure: Nothing to disclose.

 
 
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