General assessment | Adequate or inadequate for the reason (ie, inflammation, bleeding, scar) Transformation zone | |
Normal colposcopic findings | Squamous epithelium: Mature Atrophic | |
Abnormal colposcopic findings | General principles | Upper third/lower two-thirds, anterior/posterior/lateral (right or left) |
Grade 1 (minor) | Thin aceto-white epithelium, fine punctuation, fine mosaic | |
Grade 2 (major) | Dense aceto-white epithelium, coarse punctuation, coarse mosaic | |
Suspicious for invasion | Atypical vessels Additional signs: fragile vessels, irregular surface, exophytic lesion, necrosis, ulceration (necrotic), tumor/gross neoplasm | |
Non-specific | Columnar epithelium (adenosis) lesion staining by Lugol’s solution (Schiller’s test): stained/non-stained, leukoplakia | |
Miscellaneous findings | Erosion (traumatic), condyloma, polyp, cyst, endometriosis, inflammation, vaginal stenosis, congenital transformation zone |
*Adapted from Bornstein et al.6
IFCPC, International Federation for Cervical Pathology and Colposcopy.