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European consensus statement on expert colposcopy
AE. McGee, T. Alibegashvili, K. Elfgren, B. Frey, M. Grigore, A. Heinonen, R. Jach, K. Jariene, V. Kesic, V. Küppers, M. Kyrgiou, S. Leeson, J. Louwers, M. Mazurec, J. Mergui, A. Pedro, A. Šavrova, E. Siegler, U. Tabuica, D. Trojnarska, M....
Jazyk angličtina Země Irsko
Typ dokumentu přehledy, časopisecké články
- MeSH
- časná detekce nádoru MeSH
- dysplazie děložního hrdla * diagnóza MeSH
- infekce papilomavirem * diagnóza MeSH
- kolposkopie MeSH
- lidé MeSH
- nádory děložního čípku * MeSH
- Papillomaviridae MeSH
- těhotenství MeSH
- Check Tag
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
BACKGROUND: Following the publication of the European consensus statement on standards for essential colposcopy in 2020, the need for standards relating to more complex and challenging colposcopy practice was recognised. These standards relate to colposcopy undertaken in patients identified through cervical screening and tertiary referrals from colposcopists who undertake standard colposcopy only. This set of recommendations provides a review of the current literature and agreement on care for recognised complex cases. With good uptake of human papillomavirus (HPV) immunisation, we anticipate a marked reduction in cervical disease over the next decade. Still, the expert colposcopist will continue to be vital in managing complex cases, including previous cervical intraepithelial neoplasia (CIN)/complex screening histories and multi-zonal disease. AIMS: To provide expert guidance on complex colposcopy cases through published evidence and expert consensus. MATERIAL & METHODS: Members of the EFC and ESGO formed a working group to identify topics considered to be the remit of the expert rather than the standard colposcopy service. These were presented at the EFC satellite meeting, Helsinki 2021, for broader discussion and finalisation of the topics. RESULTS & DISCUSSION: The agreed standards included colposcopy in pregnancy and post-menopause, investigation and management of glandular abnormalities, persistent high-risk HPV+ with normal/low-grade cytology, colposcopy management of type 3 transformation zones (TZ), high-grade cytology and normal colposcopy, colposcopy adjuncts, follow-up after treatment with CIN next to TZ margins and follow-up after treatment with CIN with persistent HPV+, and more. These standards are under review to create a final paper of consensus standards for dissemination to all EFC and ESGO members.
3rd Faculty of Medicine Charles University Prague 10 Czech Republic
Aberdeen Centre for Women's Health Research University of Aberdeen UK
Corfamed Woman's Health Center Kluczborska Wroclaw Poland
Department of Gynaecology Georgian National Screening Center Tbilisi Georgia
Department of Obstetrics and Gynaecology CUF Sintra Hospital Sintra Portugal
Department of Obstetrics and Gynecology University of Helsinki and Helsinki University Hospital
Department of Oncology and Radiology Danylo Halytsky Lviv national medical university Lviv Ukraine
Department of Pathology and Clinical Cytology University Hospital in Wroclaw Poland
Diakonessenhuis Bosboomstraat 1 3582 KE Utrecht the Netherlands
Frauenheilkunde and Geburtshilfe Zytologisches Labor Dysplasie Sprechstunde Düsseldorf Germany
Frauenklinik Baselland Switzerland
Gynaecology Centre North Estonia Medical Centre Estonia
Institute for the Care of Mother and Child Prague 4 Czech Republic
Institute of Postgraduate Education in Health Care IPVZ Prague 10 Czech Republic
IRDB MDR and Surgery and Cancer Faculty of Medicine Imperial College London UK
Karolinska Institutet Stockholm Sweden
West London Gynaecological Cancer Centre Imperial College NHS Trust UK
Citace poskytuje Crossref.org
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- $a BACKGROUND: Following the publication of the European consensus statement on standards for essential colposcopy in 2020, the need for standards relating to more complex and challenging colposcopy practice was recognised. These standards relate to colposcopy undertaken in patients identified through cervical screening and tertiary referrals from colposcopists who undertake standard colposcopy only. This set of recommendations provides a review of the current literature and agreement on care for recognised complex cases. With good uptake of human papillomavirus (HPV) immunisation, we anticipate a marked reduction in cervical disease over the next decade. Still, the expert colposcopist will continue to be vital in managing complex cases, including previous cervical intraepithelial neoplasia (CIN)/complex screening histories and multi-zonal disease. AIMS: To provide expert guidance on complex colposcopy cases through published evidence and expert consensus. MATERIAL & METHODS: Members of the EFC and ESGO formed a working group to identify topics considered to be the remit of the expert rather than the standard colposcopy service. These were presented at the EFC satellite meeting, Helsinki 2021, for broader discussion and finalisation of the topics. RESULTS & DISCUSSION: The agreed standards included colposcopy in pregnancy and post-menopause, investigation and management of glandular abnormalities, persistent high-risk HPV+ with normal/low-grade cytology, colposcopy management of type 3 transformation zones (TZ), high-grade cytology and normal colposcopy, colposcopy adjuncts, follow-up after treatment with CIN next to TZ margins and follow-up after treatment with CIN with persistent HPV+, and more. These standards are under review to create a final paper of consensus standards for dissemination to all EFC and ESGO members.
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