What is colposcopic biopsy?
What is colposcopic biopsy?
This is also called a colposcopy-guided cervical biopsy. A colposcopy uses an instrument with a special lens to look at the cervical tissues. A cervical biopsy may be done to find cancer or precancer cells on the cervix. Cells that appear to be abnormal, but are not yet cancerous, are called precancerous.
What is colposcopic evaluation?
Colposcopy (kol-POS-kuh-pee) is a procedure to closely examine your cervix, vagina and vulva for signs of disease. During colposcopy, your doctor uses a special instrument called a colposcope. Your doctor may recommend colposcopy if your Pap test result is abnormal.
When do you need a cone biopsy?
Cone biopsy is done to detect cervical cancer or early changes that lead to cancer. A cone biopsy is done if a test called colposcopy cannot find the cause of an abnormal Pap smear. Cone biopsy may also be used to treat: Moderate to severe types of abnormal cell changes (called CIN II or CIN III)
What are the indications for colposcopy?
Colposcopy is indicated when the immediate risk of cervical intraepithelial neoplasia (CIN) 2 or worse is 4% or greater, as determined by prior screening results or histology and current high-risk HPV and cytology results. Abnormal-appearing vaginal or cervical tissue should also be evaluated with colposcopy.
What does positive ECC mean?
The presence of intraepithelial neoplasia on endocervical curettage or “positive ECC” has historically been an indication for cervical conization,[8,9] and many studies have supported conization as the standard of care for management of endocervical CIN.
When is colposcopy contraindicated?
There are no specific contraindications to a colposcopy other than an active or untreated cervical or vaginal infection. If a patient is pregnant, certain steps of the colposcopy procedure are excluded.
Who performs a cone biopsy?
Your doctor will perform a cone biopsy in a hospital. The procedure, also called cold knife cone biopsy, takes about 15 minutes, but you will be in the hospital for several hours for pre and postoperative care. Cone biopsy involves gently inserting a speculum into your vagina to view and access the cervix.
What is the next step after cone biopsy?
If you had a cone biopsy for abnormal cells, you usually have a follow up appointment about 6 months afterwards. This might be at the colposcopy clinic or GP surgery. The cone biopsy usually removes all of the abnormal cells so you don’t need any further treatment.
Is colposcopy for diagnostic or screening?
The primary goal of colposcopy is to identify precancerous and cancerous lesions so that they may be treated early. Colposcopy of the cervix is the main focus of this topic and is used as further evaluation of abnormal cervical screening tests (cytology and/or human papillomavirus testing).
What does a hysteroscopy biopsy test for?
A hysteroscopy can be used to: investigate symptoms or problems – such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding, pelvic pain, repeated miscarriages or difficulty getting pregnant. diagnose conditions – such as fibroids and polyps (non-cancerous growths in the womb)