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ASCCP Colposcopy Standards: Role of Colposcopy, Benefits, Potential Harms, and Terminology for Colposcopic Practice
Michelle J Khan1, Claudia L Werner, Teresa M Darragh
11Departments of Obstetrics and Gynecology, and Adult and Family Medicine, Kaiser Permanente Northern California, San Leandro, CA; 2Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX; 3Department of Pathology, University of California, San Francisco, CA; 4Magee Women's Hospital of the UPMC System, Pittsburgh, PA; 5Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI; 6Department of Pediatrics, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA; 7Department of Gynecologic Oncology, Yale University, New Haven, CT; 8Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD; 9Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University of Medicine, St Louis, MO; 10Department of Family and Preventive Medicine, Department of Obstetrics and Gynecology, University of South Carolina School of Medicine, Columbia, SC; 11Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, NM; 12Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO; 13Department of Obstetrics, Gynecology and Women's Health, Rutgers New Jersey Medical School, Newark, NJ; and 14Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham School of Medicine, Birmingham, AL.
This study developed standardized terminology for colposcopy in the United States, improving cervical cancer prevention by defining reporting criteria for colposcopy and biopsy procedures.
Area of Science:
- Gynecology
- Oncology
- Public Health
Background:
- Colposcopy is crucial for cervical cancer prevention in the US.
- Standardized terminology is needed for consistent colposcopy and biopsy interpretation.
- Previous terminology required adaptation for US clinical practice.
Purpose of the Study:
- To establish official terminology for colposcopy and biopsy in the United States.
- To define the role, benefits, and harms of colposcopy in cervical cancer prevention.
- To develop comprehensive and minimal reporting criteria for colposcopic examinations.
Main Methods:
- Systematic literature review and national survey of ASCCP members.
- Adaptation of the 2011 IFCPC terminology for US practice.
- Expert consensus and public comment incorporated into final recommendations.
Main Results:
- Colposcopy effectively evaluates abnormal cervical screening tests, identifying precancers for treatment.
- Potential harms include pain, distress, and procedural side effects.
- Comprehensive reporting requires documenting cervix and lesion visibility, acetowhitening, and colposcopic impression.
Conclusions:
- A new, recommended terminology for US colposcopic practice has been established.
- Defined comprehensive and minimal reporting criteria enhance consistency.
- Standardized terminology supports improved cervical cancer prevention efforts.
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