All of the following are indications of colposcopy:
Ans. is a and c i.e. Suspicious pap smear; and Suspected invasive carcinoma "Colposcopy associated with biopsy remains the gold standard for the diagnosis of cervical precancer." Indications of Colposcopy : Abnormal Pap smear cytology To locate abnormal areasdeg To obtain directed biopsiesdeg Conservative therapy under colposcopy guidancedeg For follow up of cases treated conservativelydeg In case of a lesion grossly suggestive of invasive carcinoma, cone biopsy is not indicated as it predisposes the patient to serious pelvic infection and bleeding. The diagnosis of such lesion can be confirmed by colposcopic directed simple biopsy. Extra Edge : Clinical considerations directing colposcopy Clinical objectives Clinical indications Provide a magnified view of the lower genital tract Grossly visible genital tract lesions Identify squamocolumnar junction of the cervix Abnormal cervical cytology Detect lesions suspicious for neoplasia History of in utero diethylstilbestrol exposure Direct biopsy of lesions Monitor patients with a current of past history of Uncontrolled severe hypeension lower genital tract neoplasia Uncooperative or overly anxious patient
Suspicious pap smear
Obvious mass seen
Suspected invasive carcinoma
Patient who refuse biopsy