Colposcopy Examination

Dwiana Ocviyanti
• Department of Obstetrics and Gynecology Faculty of
Medicine University of Indonesia
• National Clinical Training Network of Reproductive
Health/NCTN-RH
 Colposcopy
• An important tool for clinicians to diagnose
precancerous and cancer lesion of the cervix
• Histopathology is the gold standard for the
diagnosis of precancerous and cancer lesion of
the cervix
• The purpose of colposcopy is to help the
clinicians to do the biopsy at the most proper
site on the cervix.
COLPOSCOPY
Tools preparation
 A satisfactory colposcopy
• One where the squamocolumnar junction and
the full extent of abnormal epithelium are visible
• An exam is unsatisfactory when the extent of
lesion is not seen
• This occurs when the lesion extends into the
endocervix or is obscured by inflammation or
atrophy, squamocolumnar junction is not visible
or there is severe inflammation or severe atrophy
or cervix is not visible.
 Normal colposcopic findings
• original squamous epithelium
• columnar epithelium
• normal transformation zone
 NSCJ

Transformation zone

Old SCJ
 Abnormal colposcopic findings
• acetowhite epithelium
• Punctuation
• Mosaic
• Leukoplakia
• iodine negative
• atypical vessels
Low-grade dysplasia
 Miscellaneous findings
• Non-acetowhite micropapillary surface
• Exophytic condyloma
• Inflammation
• Atrophy
• Ulcer
Abnormal Colposcopy of the Cervix
• Patterns of the abnormal ectocervical epithelium
containing precancer lesion are described as
acetowhite, mosaic, and punctated
• Foci of invasive carcinoma may be detected by
atypical blood vessel patterns
• Early invasion may have the above stated
abnormalities in a larger lesion with ulceration,
increased vascularity, or the presence of other
epithelial types.