Iarc, 150 cours albert thomas, 69372 lyon cedex 08, france tel. In practice sessions, it is worthwhile information about the colposcopic examination and learning to use colposcopy assessment forms see the usual procedures that may accompany it, such as appendix 1 to document the findings and the location biopsy, endocervical curettage and photography, and where a biopsy has been taken. Reids colposcopic index ebsco information services. Direct visual inspection of the cervix with lugols iodine for the detection of premalignant lesions. Since nearly all cervical neoplasia occurs in the presence of human papillomavirus infection, the cervix provides the bestdefined model of virusmediated carcinogenesis in humans to date. Correlation of colposcopy using reid colposcopic index with. A cervical biopsy is a small sample of tissue that is obtained from the surface. Reids colposcopic index rci is a systematic, objec tive method of colposcopically grading the severity of premalignant cervical lesions.
Lesions, based on reid index correlated well with the. T1 interobserver agreement for colposcopy quality control using digitized colposcopic images during the alts trial. Topical application of saline, acetic acid, and iodine solutions helps identify biopsy sites. Category colposcopy and cervical pathology 2019 bjog. Colposcopic assessment of cervical intraepithelial neoplasia. This study was done to compare the association between reid colposcopic index rci and swede score. An improved colposcopic index for differentiating benign papillomaviral infections from highgrade cervical intraepithelial neoplasia. Newkirk colposcopy is the examination of the cervix, vagina, and genital organs with light and magnification to identify abnormal areas for biopsy, so that the patient can be triaged to appropriate care. An improved colposcopic index for differentiating benign papillomaviral infections from highgrade cervical intraepithelial neoplasia, am.
Direct visual inspection for cervical cancer screening. Colposcopy is a diagnostic procedure in which a colposcope a dissecting microscope with various magnification lenses is used to provide an illuminated, magnified view of the cervix, vagina, vulva, or anus picture 1 1. Journal of the turkish german gynecology association. Abstract aim cervical cancer, the fourth most common cancer in women, is preventable. International federation of cervical pathology and colposcopy ifcpc 2011 nomenclature was used for diagnosis. Interobserver agreement for colposcopy quality control using. Take your hr comms to the next level with prezi video. Clinical practice guidelines on the screening and treatment. Simplified reids colposcopic index scoring method ex.
Correlation of colposcopy using reid colposcopic index. Agreement between colposcopy results using the reid colposcopic index and histopathology. The reid colposcopic index is commonly used, although other scoring systems are also available. Research article reid colposcopic index evaluation. Reid colposcopic index highgrade cervical intraepithelial lesions colposcopy.
Colposcopy to evaluate abnormal cervical cytology in 2008. The 2011 international federation for cervical pathology and colposcopy terminology was used as a template and modified to fit colposcopic practice in the united. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the secretariat of the world health organization concerning the legal status of any. All visible lesions should be biopsied to minimize the risk of missing a. Without these ingredients, the examination will be difficult. Fill out, securely sign, print or email your j greg hinson md colposcopy procedure form instantly with signnow. The colposcopic examination will assist the clinician in determining or finding an abnormal area that is visible. In order to establish the degree of abnormality and to assist in the type of treatment, one or more biopsies may be taken. Despite the questionable accuracy of the colposcopic impression, the impression determines biopsy location.
The world health organization welcomes such applications. Immunohistochemical expression of vegf and podoplanin in uterine cervical squamous intraepithelial lesions. In present study we compared the reids colposcopic index with swede score. Reid s colposcopic index rci is a systematic, objective method of colposcopically grading the severity of premalignant cervical lesions. A variety of colposcopic scoring systems have been introduced and related to lesion colors, margins, vascularization, and appearance after the application of acetic acid and lugol iodine solution. Of these, only zedscan is registered with the therapeutic goods administration and is undergoing evaluation in australia. Only 5 % of women in developing countries have ever been screened for cervical abnormalities. This study of diagnostic accuracy aimed to assess the performance of authors proposing colposcopic index for detecting histological diagnosis of cervical intraepithelial neoplasia grade 2 or worse cin2 or worse. This study was undertaken to evaluate the diagnostic efficacy of colposcopy using rci and to determine the degree of correlation between colposcopic impression and histopathology. Reid and scalzi proposed the reid colposcopic index rci to make colposcopic diagnosis less subjective. A comparison of the associations of reid colposcopic index and. Four tests were used to screen 2754 previously unscreened women.
Consent for colposcopic examination dhmh 4174a reaffirmed 102109 page 1 of 2 consent for colposcopic examination. Pdf agreement between colposcopy results using the reid. The proposed modified reid index system specifically incorporates the location of the lesion within the. Start a free trial now to save yourself time and money. Comparison of colposcopic impression, cervical punch. A systematic approach to colposcopic examination a colposcopic examination may be easy or difficult. The degree to which the epithelium takes up the acetic colposcopic assessment of cervical intraepithelial neoplasia figure 7. It will be easy for the colposcopist who is properly trained, is well equipped, and has a comfortable, relaxed patient. Jun 15, 20 an improved colposcopic index for differentiating benign papillomaviral infections from highgrade cervical intraepithelial neoplasia.
Reflections on the international colposcopic nomenclature. Colposcopy is an approved method for the diagnosis of cervical intraepithelial neoplasia cin. The rci had better efficacy than colposcopic impression, with the sensitivity ranged between 74%97% and specificity between 91%95% 6, 7. Correlation of cytology and colposcopic findings using reids. The increased detection of cervical intraepithelial neoplasia. All visible lesions should be biopsied to minimize the risk of missing a cin grade ii or iii lesion. Colposcopic index sci, which added lesion size to the other 4 features of lesion that are used in the. A national survey of american society for colposcopy and cervical pathology members provided input on current terminology use. The purpose of this study was to determine the accuracy of an abbreviated reid.
Agreement between colposcopy results using the reid colposcopic. Exophytic condyloma in the posterior lip of the cervix a before and after 5% acetic acid application. The rci had better efficacy than colposcopic impression, with the sensitivity ranged between 74%97% and specificity between 91%95% 6,7. A measure of the colposcopic proficiency in the community can be estimated by comparing the level of agreement between the presenting cytology, colposcopic impression, and corresponding directed. Correlation of colposcopy using reid colposcopic index with histopathology a prospective study. Rci relies on critical analysis rather than on pattern recall. The increased detection of cervical intraepithelial. Polarized light colposcopy compared with standard colposcopy. University of calgarys digital repository graduate studies legacy theses 2010 comparison of colposcopic impression, cervical punch biopsy histopathology, and final cervical excision histopathology and description of colposcopic practice in the management of cervical dysplasia in the calgary health region agrawal, anita. Colposcopy when why and how dr eric megevand md, rcogsa geneva university hospital. This prospective crosssectional study on 200 symptomatic women compares the role of cytology and colposcopy in the.
World health organization international agency for research. Basic colposcopy interpretation by wendy barr on prezi. Pdf colposcopic assessment of the cervix using the simplified. Normal colposcopic findings slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Prediction of cervical histologic results using an abbreviated reid colposcopic index during alts.
Reids colposcopic index augusta university research. Clinical management of cin is based on colposcopic findings and histology from colposcopicallydirected biopsy cdb specimens. Correlation of cytology and colposcopic findings using. Colposcopy is a challenging clinical procedure and the suboptimal accuracy of colposcopy has been demonstrated. The primary goal of colposcopy is to identify precancerous and cancerous lesions so that they may be treated early. Reids colposcopic index rci is a systematic, objective method of colposcopically grading the severity of premalignant cervical lesions. A comparison of the associations of reid colposcopic index. Colposcopy is a diagnostic examination that permits a clinician to examine the cervix. To minimize the variation, several criteria were created. World health organization international agency for.
Comparison of colposcopic impression, cervical punch biopsy. Performance of the abbreviated reid colposcopic index in. A number of modern technologies based on spectroscopy and electrical impedance can be used in practice to increase the sensitivity, positive predictive value and specificity of colposcopy, including luviva, dysis and zedscan. Modified reid colposcopic index rci was followed for management. Among these, reid colposcopic index rci is the most commonly used. Cervical cancer is the most common cancer among indian women. This prospective crosssectional study on 200 symptomatic women compares the role of cytology and colposcopy in the assessment. If you continue browsing the site, you agree to the use of cookies on this website. Interobserver agreement for colposcopy quality control. Scribd is the worlds largest social reading and publishing site. Patients were diagnosed by colposcopic and histopathological studies, and the absence of neoplasia was confirmed through the cytological, colposcopic, and histopathological exam.
However, understanding colposcopy results is difficult because of the lack of a constant correlation between the visual changes of the cervical epithelium. While the colposcopic impression is based on a subjective reading of the gross cervical appearance, the impression is traditionally assessed and reported using a scoring system called the reid colposcopic index rci. The efficacy of modified swede colposcopic index in prediction of. A systematic approach to colposcopic examination 45 chapter 6. Reids colposcopic index augusta university research profiles. Colposcopic accuracy in a residency training program. Correlation of two colposcopic indices for predicting premalignant.
Apr 12, 2014 cervical cancer is the most common cancer among indian women. It demonstrates a welldescribed spectrum of histological and colposcopic findings from health to premalignancy to invasive cancer. Colposcopic article about colposcopic by the free dictionary. Tz transformation zone sc new squamocolumnar junction. This was a prospective crosssectional study carried out at the colposcopy clinic of bak. Examples commonly used include the reid colposcopic index rci, the modified reid colposcopic index, and the swede score. Positive iodine uptake giving mahogany brown color. Pdf colposcopic assessment of the cervix using the. The efficacy of modified swede colposcopic index in. The rci can accurately predict the histologic grade of cervical disease, readily.
Original article the efficacy of modified swede colposcopic. Colposcopy and colposcopic scoring systems are helpful tools to guide the treatment of precancerous lesions. Using acetowhite opacity index for detecting cervical. Chapter 1 colposcopy is a dynamic process, not a singleimage examination, and so documentation needs to describe findings at different times during the examination before and. Retrospective analysis of data was carried out on medical records of women who underwent colposcopy in rajavithi hospital from january 2007 to december 2014. Reid and scalzi introduced the reid colposcopic index rci, which takes into account four colposcopic features of premalignant cervical lesions to achieve predictive accuracy. Cervical cancer, the fourth most common cancer in women, is preventable. Colposcopic technique, scoring and documentation request pdf. To study the correlation of cytology and colposcopy in viapositive women attending the gynaecology clinic.
The reid index uses four colposcopic signs margin, color, vessel, and iodine staining. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Greg hinson colposcopy fill out and sign printable pdf. Agreement between colposcopy results using the reid. Power law behaviour and parametric models for the sizedistribution of forest fires. Interobserver agreement for colposcopy quality control using digitized colposcopic images during the alts trial. The aim of the study was to evaluate the diagnostic efficacy of colposcopy and to determine the strength of correlation between colposcopic impression using the reid colposcopic index rci and histopathology. Colposcopic prediction of histologic diagnosis using the reid colposcopic index rci rci overall score histology.
58 36 583 1417 718 329 335 833 455 1508 472 251 826 428 1344 1222 1068 415 138 591 535 621 442 1166 598 299 793 1290 1262 918 696 1496 1321 7 533 1335 1313 240 402 1241 1366 809 578 793 142 708 442 11