Category | Features/criteria | Details |
General assessment | Visualization of the cervix | Fully visualized |
Not fully visualized due to: ____ |
Visualization of the SCJ | Fully visualized |
Not fully visualized |
Acetowhite changes | Any degree of whitening after application of 3 to 5% acetic acid | Yes/no |
Normal colposcopic findings | Original squamous epithelium: mature, atrophic | |
Columnar epithelium | |
Ectopy/ectropion | |
Metaplastic squamous epithelium | |
Nabothian cysts | |
Crypt (gland) openings | |
Deciduosis in pregnancy | |
Submucosal branching vessels | |
Abnormal colposcopic findings | Lesion(s) present (acetowhite or other) | Yes/no |
Location of each lesion | Clock position |
At the SCJ (yes/no) |
Lesion visualized (fully/not fully) |
Satellite lesion |
Size of each lesion | Number of quadrants the lesion involves |
Percentage of surface area of TZ occupied by lesion |
Low-grade features | Acetowhite: - Thin/translucent
- Rapidly fading
|
Vascular patterns: - Fine mosaic
- Fine punctation
|
Margins/border: - Irregular/geographic contour
- Condylomatous/raised/papillary
- Flat
|
High-grade features | Acetowhite: - Thick/dense
- Rapidly appearing/slowly fading
- Cuffed crypt (gland) openings
- Variegated red and white
|
Vascular patterns: - Coarse mosaic
- Coarse punctation
|
Margins/border: - Sharp border
- Inner border sign (internal margin)
- Ridge sign
- Peeling edges
|
Contour: |
Fused papillae |
Suspicious for invasive cancer | Atypical vessels |
Irregular surface |
Exophytic lesion |
Necrosis |
Ulceration |
Tumor or gross neoplasm |
A suspicious lesion may not be acetowhite |
Nonspecific | Leukoplakia |
Erosion |
Contact bleeding |
Friable tissue |
Lugol staining | Not used |
Stained |
Partially stained |
Nonstained |
Miscellaneous findings | Polyp (ectocervical or endocervical) | |
Inflammation | |
Stenosis | |
Congenital TZ | |
Congenital anomaly | |
Posttreatment consequence (scarring) | |
Colposcopic impression (highest grade) | Normal/benign | |
Low grade | |
High grade | |
Cancer | |