TY - JOUR
T1 - ASCCP Colposcopy Standards
T2 - Role of Colposcopy, Benefits, Potential Harms, and Terminology for Colposcopic Practice
AU - Khan, Michelle J.
AU - Werner, Claudia L.
AU - Darragh, Teresa M.
AU - Guido, Richard S.
AU - Mathews, Cara
AU - Moscicki, Anna Barbara
AU - Mitchell, Martha M.
AU - Schiffman, Mark
AU - Wentzensen, Nicolas
AU - Massad, L. Stewart
AU - Mayeaux, E. J.
AU - Waxman, Alan G.
AU - Conageski, Christine
AU - Einstein, Mark H.
AU - Huh, Warner K.
N1 - Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Objectives The American Society for Colposcopy and Cervical Pathology Colposcopy Standards address the role of and approach to colposcopy and biopsy for cervical cancer prevention in the United States. Working Group 1 was tasked with defining the role of colposcopy, describing benefits and potential harms, and developing an official terminology. Methods A systematic literature review was performed. A national survey of American Society for Colposcopy and Cervical Pathology members provided input on current terminology use. The 2011 International Federation for Cervical Pathology and Colposcopy terminology was used as a template and modified to fit colposcopic practice in the United States. For areas without data, expert consensus guided the recommendation. Draft recommendations were posted online for public comment and presented at an open session of the 2017 International Federation for Cervical Pathology and Colposcopy World Congress for further comment. All comments were considered for the final version. Results Colposcopy is used in the evaluation of abnormal or inconclusive cervical cancer screening tests. Colposcopy aids the identification of cervical precancers that can be treated, and it allows for conservative management of abnormalities unlikely to progress. The potential harms of colposcopy include pain, psychological distress, and adverse effects of the procedure. A comprehensive colposcopy examination should include documentation of cervix visibility, squamocolumnar junction visibility, presence of acetowhitening, presence of a lesion(s), lesion(s) visibility, size and location of lesions, vascular changes, other features of lesion(s), and colposcopic impression. Minimum criteria for reporting include squamocolumnar junction visibility, presence of acetowhitening, presence of a lesion(s), and colposcopic impression. Conclusions A recommended terminology for use in US colposcopic practice was developed, with comprehensive and minimal criteria for reporting.
AB - Objectives The American Society for Colposcopy and Cervical Pathology Colposcopy Standards address the role of and approach to colposcopy and biopsy for cervical cancer prevention in the United States. Working Group 1 was tasked with defining the role of colposcopy, describing benefits and potential harms, and developing an official terminology. Methods A systematic literature review was performed. A national survey of American Society for Colposcopy and Cervical Pathology members provided input on current terminology use. The 2011 International Federation for Cervical Pathology and Colposcopy terminology was used as a template and modified to fit colposcopic practice in the United States. For areas without data, expert consensus guided the recommendation. Draft recommendations were posted online for public comment and presented at an open session of the 2017 International Federation for Cervical Pathology and Colposcopy World Congress for further comment. All comments were considered for the final version. Results Colposcopy is used in the evaluation of abnormal or inconclusive cervical cancer screening tests. Colposcopy aids the identification of cervical precancers that can be treated, and it allows for conservative management of abnormalities unlikely to progress. The potential harms of colposcopy include pain, psychological distress, and adverse effects of the procedure. A comprehensive colposcopy examination should include documentation of cervix visibility, squamocolumnar junction visibility, presence of acetowhitening, presence of a lesion(s), lesion(s) visibility, size and location of lesions, vascular changes, other features of lesion(s), and colposcopic impression. Minimum criteria for reporting include squamocolumnar junction visibility, presence of acetowhitening, presence of a lesion(s), and colposcopic impression. Conclusions A recommended terminology for use in US colposcopic practice was developed, with comprehensive and minimal criteria for reporting.
KW - benefits
KW - potential harms
KW - role of colposcopy
KW - terminology
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U2 - 10.1097/LGT.0000000000000338
DO - 10.1097/LGT.0000000000000338
M3 - Article
C2 - 28953110
AN - SCOPUS:85040784351
SN - 1089-2591
VL - 21
SP - 223
EP - 229
JO - Journal of Lower Genital Tract Disease
JF - Journal of Lower Genital Tract Disease
IS - 4
ER -