Colposcopy diagrams of the vulva

The biopsy performed should be deep enough to obtain adequate stroma, in order to exclude invasion. Treatment for a colposcopically confirmed cervical intraepithelial neoplasia CIN may be planned during the same visit as colposcopy, to minimize the number of visits and to ensure compliance with treatment, as women may not be willing for a variety of reasons to make a subsequent visit to complete treatment. Similarly, immature squamous metaplasia, inflammatory and regenerating epithelium and congenital transformation zone contain very little or no glycogen and either do not or only partially stain with iodine. When one is learning colposcopy, it is helpful to become familiar with the equipment that one will be using. The cervix may tend to slip away on pressure, but it is usually easy to grasp and remove tissue if the forceps used for biopsy has wide and sharp cutting edges, with colposcopy diagrams of the vulva or two teeth to anchor the forceps while taking the biopsy Figure 5.

Colposcopy diagrams of the vulva
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Colposcopy diagrams of the vulva

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Chapter 5: The Colposcopic Examination Step-by-Step

If the woman has been referred because of abnormal cytology results, it is ideal to have a written copy of the previous smear s on hand at the time of the colposcopy appointment. Those with normal eyesight or eyesight corrected colposcopy diagrams of the vulva glass need not do any correction of dioptre setting. If when looking through the colposcope, one can see two separate fields of vision, the eyepieces should be brought closer until the two fields merge to give a stereoscopic binocular vision. The eyepieces should be kept wide open initially.

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Colposcopy diagrams of the vulva
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Colposcopy diagrams of the vulva
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The risk of biopsy should always be weighed against colposcopy diagrams of the vulva risk of missing an early invasive cancer. There are three commonly encountered circumstances, in which an endocervical curettage ECC should be performed using an endocervical curette Figure 4. A skin hook is sometimes useful to anchor a potential biopsy site if it is difficult to grasp with the biopsy instrument. Firmly apply the biopsy punch onto the cervix with the jaws wide open; fix the lower lip of the biopsy punch and close the jaws completely.

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Colposcopy diagrams of the vulva
Colposcopy diagrams of the vulva

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