Colposcopy

Question 1

What is colposcopy?

Answer 1

Colpo means vagina.

-Colpo-scopy means to visualise the cervix under magnification, using ascetic acid.

Colposcopy can be a diagnostic or therapeutic procedure.

Question 2

What is looked for in a diagnostic colposcopy?

Answer 2

1. Is there squamous intrepithelial lesion (SIL) ?
2. What is the extent of the lesion?
3. Is there any microinvasion?

Question 3

What does therapeutic colposcopy criteria entail?

Answer 3

PEMEC

P: parity
-Is there parity between the different results? 
Cytology
Colposcopy
Biopsy

E: extent
-Can you completely visualise the abnormal area?

M: microinvasion
-No microinvasion must be present

E: endocervix

• endocervical canal needs to be normal
• there should be no AGC on PAP Smear

C: Colposcopy
-Must be available

Question 4

What is the therapy used during colposcopy?

Answer 4

LLETZzzzzz

Large Loop Excision of the Transformation Zone

• Ensure complete excision of TZ
• Take about 7-10 mm tissue
• Pt needs to be followed up, 6 monthly in the first year and then yearly for atleast 5 to up to 10 years.

Question 5

If therapeutic colposcopy cannot be done, what happens?

Answer 5

Cone biopsy can be done

Question 6

Cone Biopsy

Answer 6

• needs to be done in theatre preferrably , 2.5 cm tissue taken out
• its a diagnostic procedure, helps to decide if the pt needs hysterectomy