Basic principles and diagnostic of colposcopy
Abstract: The colposcope is an
optical system that offers illumination and magnifications between 10 and 16
times. Colposcopy is the diagnostic test to evaluate patients with an abnormal
cervical cytological smear, abnormal VIA (Visual Inspection with Acetic acid
application) or VILI (Visual Inspection with Lugo’s Iodine application),
abnormal appearing cervix and directing biopsies.
Methods: Literature study
Result: The colposcopic examination of the cervix starts with “General
Assessment.” to immediately recognize the level of examination reliability.
Examination should assessed for three variables: 1) adequate or inadequate,
with the reason given; 2) squamocolumnar junction visibility; and 3)
transformation zone type. Colposcopic features and patterns will correspond
with underlying specific histological features. The greater the expertise and
experience of the colposcopist, the greater the confidence in the assessment of
the atypical TZ (Transformation Zone).
Conclusion: For practical purposes, the most important aspect is always
the recognition or exclusion of underlying actual invasive disease. The
presence or absence of precancerous lesions can confirm with colposcopy.
Author: Heru Pradjatmo
Journal Code: jpkedokterangg150357