Text and Atlas of Integrated Colposcopy: For Colposcopists, Histopathologists and Cytologists(Medical Atlas Series 5)

This volume is primarily intended for colposcopists, therefore the bulk of it covers the colposcopic appearances of the cervix in health and disease, largely in the form of an atlas. However, the book also includes a discussion of the factors responsible for the causation of disease and its histogenesis, as well as the histological and cytological means of diagnosis which necessarily complement the colposcopic approach. The sections on histology and cytology are intended to be of use to histopathologists and cytologists working alongside colposcopists. In addition to the chapters on histology, cytology, colposcopic appearances of the cervix, vagina and vulva in health and primarily in disease, and also treatment, chapters are included that deal with policies of referral for colposcopy, setting up a colposcopy service and training considerations.

Table of Contents:
The normal cervix - normal structure, the transformation zone, the congenital transformation zone; cervical intraepithelial neoplasia - histology and cytology, nomenclature, histological and cytological features of CIN, differential diagnosis; aetiology and natural history of cervical cancer; introduction to colposcopy; the colposcopy appearances of the normal cervix; the colposcopic appearances of CIN; invasive squamous disease; glandular lesions; inflammatory and infective conditions of the cervix - human papillomavirus, herpes simplex virus, trichomoniasis, candidasis, other infective conditions, "the inflammatory smear"; management of premalignant and malignant disease of the cervix - indications for cone biopsy and hysterectomy, local destructive techniques, excisional methods; follow up after treatment - timing of visits, place of colposcopy, problems encountered, subsequent disease; the vagina and VAIN - histogenic considerations and definitions, colposcopic appearance, histological and cytological illustrations, treatment; the vulva and VIN - classification of vulval diseases, histology, cytology, colposcopic appearances, treatment; oral contraceptive changes - histology, cytology, colposcopy; pregnancy - physiological changes, the abnormal cervix in pregnancy; diethylstilbestrol exposure; taking cervical smears; handling biopsy specimens - punch biopsies, knife and wedge biopsies, cone biopsies, hysterectomy specimens; indications for referral; cervicography; planning and running a colposcopy clinic - staffing, accommodation, intradepartmental training; guidelines for training.