2011 Colposcopic Terminology of the International Federation for Cervical Pathology and Colposcopy

Abstract

New colposcopy terminology was prepared by the Nomenclature Committee of the International Federation of Cervical Pathology and Colposcopy after a critical review of previous terminologies, online discussions, and discussion with national colposcopy societies and individual colposcopists. This document has been expanded to include terminology of both the cervix and vagina. The popular terms "satisfactory colposcopy" and "unsatisfactory colposcopy" have been replaced. The colposcopic examination should be assessed for three variables: 1) adequate or inadequate, with the reason given; 2) squamocolumnar junction visibility; and 3) transformation zone type. Other additions were the localization of the lesion to either inside or outside the transformation zone and determinants of size as well as location of cervical lesions. Two new signs were included in the terminology-the "inner border sign" and "ridge sign." The following definitions have been added: congenital transformation zone, polyp (ectocervical or endocervical), stenosis, congenital anomaly, and posttreatment consequence. In addition, the terminology includes standardization of cervical excision treatment types and cervical excision specimen dimensions. The International Federation of Cervical Pathology and Colposcopy recommends that the 2011 terminology replace all others and be implemented for diagnosis, treatment, and research.

The role of inner border sign and ridge sign in detecting high-grade cervical intraepithelial neoplasia

“…9 The TZ was evaluated according to IFCPC criteria: TZ type 1 is completely ectocervical and fully visible, type 2 TZ has an endocervical component and type 3 TZ has an endocervical component that is not fully visible. 7 We compared RCI scores and the presence of the pathognomonic signs with the pathological result. We estimated sensitivity and specificity, positive predictive value (PPV), negative predictive value (NPV), negative likelihood ratio (NLR) and positive likelihood ratio (PLR) for each pathognomonic sign.…”

“…In 2011, the International Federation for Cervical Pathology and Colposcopy (IFCPC) revised the colposcopic terminology by adding two recently described pathognomonic criteria that are highly associated with the presence of high-grade CIN, the inner border sign and ridge sign. 7 This article evaluates the value of the pathognomonic signs in detecting high-grade cervical lesions.…”

The impact of HPV cervical screening on negative large loop excision of the transformation zone (LLETZ): A comparative cohort study

“…To reduce transference errors and improve the quality of the data collection, double data entry was completed and a The definition of a positive LLETZ was any histological specimen which contained CIN of any grade, cervical glandular intraepithelial neoplasia (cGIN) or cancer [6][7][8][9][10][11] . Clinical records and colposcopic images were assessed to confirm the position of the transformation zone (TZ) in relation to the endocervical canal; as specified by the IFCPC nomenclature, this was coded as a TZ type 1 or 2 when the squamocolumnar junction (SCJ) was fully or partially visible (satisfactory colposcopy) or a TZ type 3 when the SCJ could not be visualized (unsatisfactory colposcopy) 22 . The size of the lesion (coded out of four quadrants), the interval in weeks from cytology to colposcopy and from colposcopy to treatment (coded as 0-4 weeks, 5-8 and more than nine) and the management instituted (see and treat, biopsy, repeat cytology or conservative) were also recorded.…”

A study on HPV mRNA test and colposcopy in HIV positive women for early detection of cervical intraepithelial lesions

“…As per IFCPC 2011 classification normal and abnormal findings were noted and scoring was done as per modified RCI index. 7,8 The cervix was divided into four quadrants by an imaginary line passing through the centre from 6'o clock to12'o clock position and from 3'o clock to 9'o clock position and Colposcopic examination of each quadrant was done in a clockwise direction starting from right upper quadrant and findings documented as equation by simplified RCI scoring method. 9 If the score was more than 2, then biopsy was taken and send for histopathology reporting in Department of Pathology, NSCB medical college, Jabalpur (MP).…”