ASCCP - Practice Recommendations - Practice Management Materials

PRACTICE RECOMMENDATIONS: Practice Management Materials

• Vulva • Vagina • Cervix • Anus

THE CERVIX: Colposcopy: Indications

• I.	Introduction	• V.	Invasive Cancer of the Cervix
• II.	Anatomy of the Uterine Cervix	• VI.	Colposcopy
• III.	Histology of the Normal Cervix	• VII:	Cervical Cancer Screening and Colposcopy During Pregnancy
• IV.	Premalignant Lesions of the Cervix		Cervical Cancer Screening and Colposcopy During Pregnancy

Colposcopy is indicated whenever a magnified examination of cervical topography and epithelial character are needed. Common indications include:

Grossly visible or palpable abnormality of the cervix
Abnormal cervical cytology
Positive screening test for cervical neoplasia such as spectroscopy, cervicography, speculoscopy
Cervical cytology unsatisfactory due to unexplained inflammation
History of in-utero diethylstilbestrol (DES) exposure
Unexplained cervico-vaginal discharge
Unexplained abnormal lower genital tract bleeding
History of lower genital tract neoplasia (cervical, vaginal, vulvar)
Post-treatment surveillance