Colposcopy and Treatment of Cervical Intraepithelial Neoplasia - RHO

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Contents Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi 1 An introduction to the anatomy of the uterine cervix . . . . . . . . . . . . . . . . . . . . . . 1 2 An introduction to cervical intraepithelial neoplasia (CIN) . . . . . . . . . . . . . . . . . . 13 3 An introduction to invasive cancer of the uterine cervix . . . . . . . . . . . . . . . . . . . . 21 4 An introduction to colposcopy: indications for colposcopy, . . . . . . . . . . . . . . . . 29 instrumentation, principles, and documentation of results 5 The colposcopic examination step-by-step . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 6 Colposcopic appearance of the normal cervix . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 7 Colposcopic assessment of cervical intraepithelial neoplasia . . . . . . . . . . . . . . . . 55 8 Colposcopic diagnosis of preclinical invasive carcinoma of the cervix . . . . . . . . 69 and glandular neoplasia 9 Inflammatory lesions of the cervix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 10 Avoiding errors in the colposcopic assessment of the cervix and . . . . . . . . . . . . . 85 colposcopic provisional diagnosis v
Contents 11 Management that provides continuity of care for women . . . . . . . . . . . . . . . . . . 89 12 Treatment of cervical intraepithelial neoplasia by cryotherapy . . . . . . . . . . . . . . . 95 13 Treatment of cervical intraepithelial neoplasia by loop electrosurgical . . . . . . . . . 103 excision procedure (LEEP) 14 Decontamination, cleaning, high-level disinfection and sterilisation of . . . . . . . . 113 instruments used during the diagnosis and treatment of cervical neoplasia References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Suggestions for further reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Appendices 1 Example of a colposcopy record . . . . . . . . . . . . . . . . . . . . . . 121 2 Example of a consent form . . . . . . . . . . . . . . . . . . . . . . . . . . 123 3 Preparation of 5% acetic acid, Lugol’s iodine solution, . . . . . 125 and Monsel’s paste 4 Colposcopic terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 5 The modified Reid colposcopic index (RCI) . . . . . . . . . . . . . . 128 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 vi
Page 1 and 2: Colposcopy and Treatment of Cervica
Page 3 and 4: INTERNATIONAL AGENCY FOR RESEARCH O
Page 5: Published by the International Agen
Page 9 and 10: Acknowledgements The authors gratef
Page 11 and 12: Preface Health care providers have
Page 13 and 14: Chapter 1 An introduction to the an
Page 15 and 16: An introduction to the anatomy of t
Page 25 and 26: Chapter 2 An introduction to cervic
Page 27 and 28: An introduction to cervical intraep
Page 33 and 34: Chapter 3 An introduction to invasi
Page 35 and 36: An introduction to invasive cancer
Page 41 and 42: Chapter 4 Table 4.1: Indications fo
Page 43 and 44: Chapter 4 FIGURE 4.2: Colposcope wi
Page 45 and 46: Chapter 4 FIGURE 4.6: Endocervical
Page 47 and 48: Chapter 4 Table 4.2: Preneoplastic
Page 49 and 50: Chapter 5 between the two ocular le
Page 51 and 52: Chapter 5 Obtain specimens for labo
Page 53 and 54: Chapter 5 FIGURE 5.2: Biopsy techni
Page 55 and 56: Chapter 5 tissue tends to mimic inv
Page 57 and 58:
Chapter 6 invasive carcinoma. Even
Page 59 and 60:
Chapter 6 ages (Figures 1.7d, 1.7e,
Page 61 and 62:
Chapter 6 FIGURE 6.7: The colour ch
Page 63 and 64:
Chapter 6 Crypt openings Immature s
Page 65 and 66:
Chapter 6 a FIGURE 6.17: An area of
Page 67 and 68:
Chapter 7 The colposcopic diagnosis
Page 69 and 70:
Chapter 7 appears as individual sma
Page 71 and 72:
Chapter 7 acid stain is correlated
Page 73 and 74:
Chapter 7 FIGURE 7.15: Moderately d
Page 75 and 76:
Chapter 7 FIGURE 7.23: A dense acet
Page 77 and 78:
Chapter 7 FIGURE 7.30: Mustard yell
Page 79 and 80:
Chapter 7 We recommend that the stu
Page 81 and 82:
Chapter 8 highlights this responsib
Page 83 and 84:
Chapter 8 Appearance before applica
Page 85 and 86:
Chapter 8 diagnosis of AIS and aden
Page 87 and 88:
Chapter 8 a ↑ FIGURE 8.10: Adenoc
Page 89 and 90:
Chapter 9 Inflammatory lesions of t
Page 91 and 92:
Inflammatory lesions of the uterine
Page 93 and 94:
Inflammatory lesions of the uterine
Page 95 and 96:
Chapter 10 Table 10.1: Common sourc
Page 97 and 98:
Chapter 10 Table 10.2 (cont.): A su
Page 99 and 100:
Chapter 11 FIGURE 11.1: Flow chart
Page 101 and 102:
Chapter 11 treatment policies for p
Page 103 and 104:
Chapter 11 Vaginal delivery can be
Page 105 and 106:
Chapter 12 involvement increases wi
Page 107 and 108:
Chapter 12 Table 12.1: Eligibility
Page 109 and 110:
Chapter 12 a b c d e f FIGURE 12.6:
Page 111 and 112:
Chapter 12 during the follow-up in
Page 113 and 114:
Chapter 13 (2) (1) FIGURE 13.2: Ele
Page 115 and 116:
Chapter 13 (1) (2) (3) (4) (5) (8)
Page 117 and 118:
Chapter 13 Once the specimen has be
Page 119 and 120:
Chapter 13 in the endocervical cana
Page 121 and 122:
Chapter 14 Decontamination, cleanin
Page 123 and 124:
Decontamination, cleaning, high-lev
Page 125 and 126:
References Herrero, R. (1997) Preva
Page 127 and 128:
Further reading Suggestions on furt
Page 129 and 130:
Appendix Leukoplakia Condylom
Page 131 and 132:
Appendix regardless of your pregnan
Page 133 and 134:
Appendix Monsel’s paste Ingredien
Page 135 and 136:
Appendix 5 The modified Reid colpos
Page 137 and 138:
Index Acetowhitening . . . . . . .
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Colposcopy and Treatment of Cervical Intraepithelial Neoplasia - RHO

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