Colposcopy: Management Options

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Overview

An international team of experts presents both diagnostic and therapeutic colposcopy techniques in a format that combines the visual guidance of an atlas with the in-depth coverage of a text. Readers will also find valuable information on training and accreditation in different countries.

• Covers both the diagnostic and therapeutic applications of this frequently performed gynecologic procedure.

• Provides unparalleled guidance on performing a large loop excision of the transformation zone (LLETZ), a technique pioneered by Dr. Prendiville.
• Includes detailed coverage of the biology of the human papilloma virus (HPV).
• Demonstrates how to proceed with over 420 illustrations, including line drawings as well as over 200 full-color photographs.
• Reflects "best practices" from around the world.
• Offers information on training and accreditation in different countries.
• Addresses many of the more difficult diagnostic and management challenges encountered in colposcopic practice.

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Product Details

  • ISBN-13: 9780702024917
  • Publisher: Elsevier Health Sciences
  • Publication date: 9/5/2003
  • Pages: 160
  • Product dimensions: 8.70 (w) x 11.00 (h) x 0.70 (d)

Table of Contents

Section A: PRECLINICAL ISSUES
1. Epidemiology of HPV
2. The anatomy and pathology of lower genital tract intraepithelial neoplasia
3. Pathology of the cervix
4. Screening tools
5. Human papillomaviruses and cervical cancer development
6. The current and potential role of HPV recognition in the presentation and management of the lower genital tract intraepithelial neoplasia

Section B: DIAGNOSTIC COLPOSCOPY
7. Basic colposcopic technique
8. Optimizing the colposcopy examination

Section C: THERAPEUTIC COLPOSCOPY
9. Destructive methods of treatment for cervical intraepithelial neoplasia

Section D: ANCILLARY ISSUES
10. LLETZ: Theoretical rationale, practical aspects, clinical experience, optimizing the technique
11. Difficult diagnostic and management problems in colposcopic practice
12. Cervical disease in human immunodeficiency virus-infected women

Section E: MANAGEMENT OF LOWER GENITAL TRACT DISEASE
13. Vaccines
14. The ASCUS smear, borderline nuclear abnormalities, inflammatory smears
15. The treatment of grade 3 cervical intraepithelial neoplasia
16. Vaginal intraepithelial neoplasia (VAIN)
17. Vulvar intraepithelial neoplasia (VIN)
18. Microinvasive cancer of the cervix
19. Invasive cervical cancer
20. Invasive vulvar cancer
21. Invasive vaginal cancer
22. The management of atypical intraepithelial glandular lesions
23. Immune responses to HPV – prospects for immunotherapy
24. Ensuring high standards of practice

Appendix 1: Standards and Quality in colposcopy

Appendix 2: BSCCP/RCOG certificate syllabus

Appendix 3: BCCP colposcopic audit form

Appendix 4: Colposcopy clinic visit sheets

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