Atanassova D, Zlatkov V
Akush Ginekol (Sofiia). 2014;53(7):24-7.
We present the latest revision of colposcopic terminology accepted by IFCPC. The differences from the previous revision are represented. Colposcopic atypia encompasses a wide range of changes in the cervical mucosa. Therefore to drawa parallel between colposcopic findings and the severity of the histological changes in affected areas is difficult. The objective of the observers is to improve the accuracy of colposcopy as diagnostic method. For this purpose specific signs are searched that increase the degree of coincidence between colposcopic and histological atypia We present examples for the described markers "inner border sign" and "ridge sign", included in the latest nomenclature of IFCPC. Research results show the specificity of "inner border sign" and "ridge sign" for the detection of underlying CIN2/3 reaches 93.1% and 97% respectively. We have illustrated also the recently defined "rag sign" and "umbilication", which could be associated with high-grade CIN. Conclusion. Careful review of the lesion when there is a colposcopic atypia can detect features that guide the examiner to possibly severe changes and therefore have practical significance in selecting a suitable biopsy place and appropriate observing.
我们展示了国际宫颈病理和阴道镜学会（IFCPC）认可的阴道镜术语的最新修订版。列出了与之前修订版的差异。阴道镜下的异型表现涵盖了宫颈黏膜的广泛变化。因此，很难将阴道镜检查结果与病变区域组织学变化的严重程度进行对比。观察者的目标是提高阴道镜作为诊断方法的准确性。为此，要寻找能提高阴道镜异型表现与组织学异型表现之间符合程度的特定征象。我们展示了IFCPC最新命名法中所描述的“内边界征”和“嵴征”的示例。研究结果表明，“内边界征”和“嵴征”检测潜在CIN2/3的特异性分别达到93.1%和97%。我们还说明了最近定义的“破布征”和“脐凹征”，它们可能与高级别CIN相关。结论。当存在阴道镜异型表现时，仔细检查病变可发现能引导检查者判断可能存在的严重变化的特征，因此在选择合适的活检部位和进行恰当观察方面具有实际意义。
