IARC Technical Reports Series 45

Colposcopy and Treatment of Cervical Precancer

Paperback
September 2017
9789283224587
More details
  • Publisher
    World Health Organization
  • Published
    11th September 2017
  • ISBN 9789283224587
  • Language English
  • Pages 178 pp.
  • Size 8.25" x 10.25"
  • Images four-color throughout
$24.00

This colposcopy manual was developed in the context of the cervical cancer screening research studies of the International Agency for Research on Cancer (IARC) and the related technical support provided to national programs. It is thus a highly comprehensive manual, both for the training of new colposcopists and for the continuing education and reorientation of those who are more experienced. This manual offers a valuable learning resource, incorporating recent developments in the understanding of the etiology and pathogenesis of cervical intraepithelial neoplasia (CIN), as well as in colposcopy and cervical pathology.

Expertise in performing satisfactory, safe, and accurate colposcopic examinations requires high competence in the technical, interpretive, and cognitive aspects, and the capability to develop pragmatic and effective management plans and treatment. This comprehensive and concise manual covers all these aspects and serves as a useful handbook for acquiring the necessary skills for the visual recognition and interpretation of colposcopic findings and for developing the personal and professional attributes required for competence in colposcopy.

Contributors
Acknowledgements
Foreword
Abbreviations
1. The role of colposcopy in cervical precancer
2. Anatomy of the uterine cervix and the transformation zone
3. Squamous intraepithelial lesions: cytology-histology correlation
4. The effect of oncogenic HPV on transformation zone epithelium
5. Equipment for a colposcopic examination
6. A systematic approach to colposcopic examination
7. Colposcopic terminology: the 2011 IFCPC nomenclature
8. Colposcopic appearance of the normal cervix
9. Inflammatory lesions of the cervix
10. Colposcopic examination of the abnormal cervix
11. Treatment of cervical intraepithelial neoplasia (CIN)
12. Glandular abnormalities, adenocarcinoma in situ, and glandular intraepithelial neoplasia
13. Microinvasive squamous cervical cancer
14. Surgical management of early invasive cervical cancer
15. Non-surgical management of cervical cancer
16. Follow-up after treatment of cervical intraepithelial neoplasia (CIN)
17. Pregnancy, contraception, menopause, and hysterectomy
18. Quality assurance: fail-safe protocols and clean equipment
References
Annex 1. Transformation zone types
Annex 2. Standard form for documenting the examination findings
Annex 3. 2011 IFCPC colposcopic terminology of the cervix
Annex 4. The Swede score
Annex 5. Preparation of 5% acetic acid, Lugol's iodine solution, and Monsel's paste
Disclosures of interests
Sources
Index

Walter Prendiville

Walter Prendiville

Rengaswamy Sankaranarayanan

Rengaswamy Sankaranarayanan