Index

Cytology and Colposcopy in Gynecological Practice Usha B Saraiya, Giovanni Miniello

CHAPTER 1:Milestones in the Development of Early Diagnosis
- HISTORY OF COLPOSCOPY
- HISTORY OF CYTOLOGY IN INDIA
- HISTORY OF CYTOLOGY AND COLPOSCOPY IN WESTERN MAHARASHTRA AND MUMBAI
CHAPTER 2:Cytodiagnosis
- BASIC ANATOMY
  - Abnormal Cells seen as follows (Fig. 2.2):
- TECHNIQUE OF SMEAR TAKING
- HORMONAL CYTOLOGY
  - Clinical Application of Cytology
CHAPTER 3:Basic Colposcopy
- THE COLPOSCOPE (FIG. 3.1)
- ACCESSORIES OF COLPOSCOPE
  - Video Colposcope (Fig. 3.2)
- BASIS OF COLPOSCOPY
- APPENDIX 1
- APPENDIX 2
  - Center of Cervical Cancer Prevention
- APPENDIX 3
  - International Terminology of Colposcopy Updated January 2003
CHAPTER 4:Natural History of Cervical Neoplasia
- INTRODUCTION
- HPV INFECTION AND CERVICAL NEOPLASIA
- HABITUAL TOBACCO SMOKING AND CERVICAL NEOPLASIA
- VITAMIN A AND CERVICAL NEOPLASIA
- SOME INDIVIDUAL AND ENVIRONMENTAL FACTORS VS THE PRESENCE OF CERVICAL NEOPLASIA
- CORRELATION BETWEEN THE STUDIED FACTORS AND THE IMPORTANCE OF RESULTS IN EVERYDAY CLINICAL PRACTICE
- SUMMING UP
CHAPTER 5:Integrated Colposcopy and Phase Contrast Microscopy
- INTRODUCTION
- PHASE-CONTRAST MICROSCOPY
CHAPTER 6:Topography of Abnormal Colposcopy Findings Including Correlation between Colposcopy and Histology
CHAPTER 7:Colposcopy of the Atypical Transformation Zone
- INTRODUCTION
- COLPOSCOPIC APPEARANCES OF SUBCLINICAL LESIONS
  - Low-grade CIN (Flat Condyloma – CIN1)
    - Spiked and Encephaloid Condylomata
  - High-grade CIN
    - Colposcopy Condylomata Acuminata
- VAGINAL EXTENSION OF CIN
- TERMINOLOGY
- A SATISFACTORY OR AN UNSATISFACTORY COLPOSCOPY
- COLPOSCOPIC FEATURES SUGGESTING INVASION
- NEW COLPOSCOPY TERMINOLOGY
- COLPOSCOPY AND HPV TESTING
CHAPTER 8:Clinical Significance of Human Papillomavirus (HPV) Infection
- INTRODUCTION
- ETIOPATHOLOGY
- CLINICAL PRESENTATION
- INVESTIGATIONS
  - Histology
  - Molecular Biology
- IMMUNE RESPONSE TO HPV
- MANAGEMENT OF HPV
- HPV TESTING AS A FORM OF SCREENING
- VACCINES AGAINST HPV
- GLOBAL VIEW OF HPV INFECTION
CHAPTER 9:Squamous Metaplasia
- INTRODUCTION
- IMMATURE AND MATURE METAPLASIA
  - Immature metaplasia
  - Mature Metaplasia (Transformation Zone-TZ)
- IMPORTANCE OF METAPLASIA
- EDITORS COMMENTS
CHAPTER 10:Terminal Vascular Network of the Cervix and Angiogenesis of Cervical Neoplasia
- TERMINAL VASCULAR NETWORK OF CERVIX
- ANGIOGENESIS OF CERVICAL NEOPLASIA
- EDITORS COMMENTS
CHAPTER 11:Cervicography
- INTRODUCTION
- PROBLEMS WITH CYTOLOGIC SCREENING
- COLPOSCOPIC SCREENING
- FREQUENCY OF SCREENING
- EDITORS COMMENTS
CHAPTER 12:Newer Technologies in Cervical Cancer Detection
- SUMMARY
- INTRODUCTION
- TERMINOLOGY OF CERVICAL SMEARS
  - Specimen Adequacy
  - Interpretation/Results
- THE CONVENTIONAL SMEAR
  - Performance of Conventional Smear
- LIQUID BASED CYTOLOGY
- QUALITY ASSURANCE
- MANAGEMENT OF ABNORMAL SMEARS
- HPV SCREENING
CHAPTER 13:Colposcopy in Pregnancy
- INTRODUCTION
- INDICATIONS FOR COLPOSCOPY IN PREGNANCY
- PHYSIOLOGICAL CHANGES OF THE CERVIX IN PREGNANCY
- TECHNIQUE OF COLPOSCOPY IN PREGNANCY
- EDITORS COMMENTS
CHAPTER 14:Current Management of Abnormal Cervical Smears in Pregnant Women
- INTRODUCTION
- ABNORMAL CERVICAL SMEAR IN PREGNANCY
- DIAGNOSTIC PROCEDURES DURING PREGNANCY
- MANAGEMENT OF INTRAEPITHELIAL LESIONS DURING PREGNANCY
- MANAGEMENT OF MICROINVASIVE CERVICAL CANCER
- MANAGEMENT OF INVASIVE CERVICAL CANCER
- EDITORS COMMENTS
CHAPTER 15:Cervical Cancer Screening of Women in Low Resource Setting
- INTRODUCTION
- TYPES OF SCREENING METHODS
- VACCINES AGAINST HPV
- SCREENING FOR CERVICAL CANCER — GLOBAL PERSPECTIVE
CHAPTER 16:Reaching Rural Women with Cervical Cancer Screening Services
- INTRODUCTION
- ACQUIRING FINANCIAL SUPPORT
- PLANNING AND PREPARING FOR THE SCREENING PROGRAM
- IMPLEMENTING THE PROGRAM
- DATA ANALYSIS
- SUMMARY
- ACKNOWLEDGEMENT
CHAPTER 17:Reporting of Smears—Evolution of Classification
- INTRODUCTION
- PAPANICOLAOU'S CLASSIFICATION
- WHO CLASSIFICATION
- CIN CLASSIFICATION
- THE BETHESDA SYSTEM (TBS)
- EDITORS COMMENTS
CHAPTER 18:Twilight Zone in High Grade Cervical Cytology (ASC-H, LSIL-H) and Future Trends in Cervical Cytology
- INTRODUCTION
- FUTURE TRENDS AND RELATED CONTROVERSIES IN CERVICAL CYTOLOGY
CHAPTER 19:Adenocarcinoma of the Cervix—An Emerging Issue
- INCIDENCE AND MORPHOGENESIS
- PRECANCEROUS GLANDULAR LESIONS OF THE UTERINE CERVIX - THE TERMINOLOGY
- EARLY INVASIVE ADENOCARCINOMA
- ADENOCARCINOMA INVASIVUM
- CYTOLOGICAL DIAGNOSTIC MANAGEMENT IN ADENOCARCINOMA CERVIX UTERI
  - Atypical Endocervical Cells
- ROLE OF COLPOSCOPY IN DETECTION OF ATYPICAL GLANDULAR CELL AND ADENOCARCINOMA
- MANAGEMENT IN CYTOLOGICAL-COLPOSCOPWEIC SUSPICION OF GLANDULAR EPITHELIAL ABNORMALITIES IN THE CERVIX
CHAPTER 20:Appropriate Management Protocols for Cervical Intraepithelial Neoplasia
- THE UNFINISHED AGENDA
- LOW GRADE LESIONS
  - Management of ASCUS
- HIGH GRADE SIL
  - Management
- COLD KNIFE CONIZATION
- LLETZ
- LASER
- HYSTERECTOMY
- CONCLUSION
CHAPTER 21:Post Treatment Surveillance of Women with Squamous Intraepithelial Lesions
- INTRODUCTION
- FOLLOW-UP GUIDELINES
- HPV-DNA TESTING
- FOLLOW-UP AFTER HYSTERECTOMY
- CERVICAL GLANDULAR INTRAEPITHELIAL NEOPLASIA (CGIN)
CHAPTER 22:HPV Testing Comes of Age
- INTRODUCTION
- HPV TESTING AS FOR TRIAGE
- HPV TESTING FOR PRIMARY SCREENING
  - Considerations and Algorithms for use in Primary Screening
- HPV TESTING SYSTEMS
- HPV TESTING IN LOW RESOURCE SETTING
Epilogue

INDEX

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Chapter Notes