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KMID : 0616620020080040457
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Journal of Soonchunhyang Medical College
2002 Volume.8 No. 4 p.457 ~ p.462
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Basic Concepts of Colposcopy
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Abstract
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The increasing accuracy achieved by exfoliative cytology over the past two decades in predicting epithelial neoplastic changes in the uterine cervix is well recognized. As a result of this phenomenon the increased use of the diagnostic cone biopsy to obtain a histologic diagnosis has also occurred. It has been well established, however, that a cone biopsy is not to be regarded as a benign procedure since it is often associated with a significant degree of surgical morbidity and jeopardy to future childbearing. Moreover, when a diagnostic cone biopsy is performed because of a suspicious or positive Papanicolaou smear, in the absence of any gross or suspicious overt lesion on the cervix, the incidence of finding an invasive carcinoma requiring radical therapy is small, usually in the range of 4 to 5 percent.
With the introduction of the colposcope in this country and of exfoliative cytology in Europe over 20 years ago, reports comparing the effectiveness of the combined use of these two methods of screening for cervical cancer began to appear ;in the literature. These comparative studies substantiated that it was possible to pinpoint accurately the area of abnormal cervical epithelium by colposcopic examination for the selection of the biopsy site.
In 1971 Coppleson and associates published a classic monograph entitled Colposcopy and a year later Kolstad and Stafl published a superb Atlas of Colposcopy. Thus there appeared for the first time in the more recent English literature two authoritative treatises on colposcopy and its application in the understanding and diagnosis of cervical neoplasia from which the interested gynecologist could learn the basic principles involved in the clinical application of colposcopy.
The purpose of this report is to present the basic concepts of colposcopy.
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