Table 1

2011 IFCPC clinical/colposcopic terminology of the vagina

General assessmentAdequate or inadequate for the reason (ie, inflammation, bleeding, scar)
Transformation zone
Normal colposcopic findingsSquamous epithelium:
Mature
Atrophic
Abnormal colposcopic findingsGeneral principlesUpper 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 invasionAtypical vessels
Additional signs: fragile vessels, irregular surface, exophytic lesion, necrosis, ulceration (necrotic), tumor/gross neoplasm
Non-specificColumnar epithelium (adenosis) lesion staining by Lugol’s solution (Schiller’s test): stained/non-stained, leukoplakia
Miscellaneous findingsErosion (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.