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Colposcopia 2009
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Transcript of Colposcopia 2009
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Introdusa in Germania. 1924 Decembrie -Hans Hinselmann.
Münch med. Wschr, pag 1733 “Verbesserung der
Inspektionsmöglichkeiten von vulva, vagina und portio"
“Inbunatateste ” posibilitatile de inspectie diagnostica ale vulvei, vaginului si cervix.
Colposcopia
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Permite examen tractului genital inferior.
Observa stereoscopic suprafata epiteliala cervicouterina.
Detecteaza precoce procese premaligne si maligne.
Colposcopia
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Colposcop
Sistem de lentile ca un microscop stereoscopic.
Imagine tridimensionala cu ajutorul a doua lentile separate.
Formeaza un unghi intre ambi ochi de 7 - 12 grade.
Colposcopia
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Imaginea colposcopica
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Colposcopia Instrumentar
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Colposcopia
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Colposcopia Instrumental
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Colposcopia
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Colposcopia
Bazele procedurilor de examinare colposcopica
• Tehnica cu solutie salina• Principiul probei cu ac. acetic 3 %• Principiul probei Schiller (solutie iodoiodurada de Lugol 1
%)• Albastru de Toluidina 1%
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Clasificarea zonelor atípice de transformare Coppleson M, Pixley E, Reid B. 1986
GRAD I
(Nesemnificativ, nesuspect): epiteliu acetoalb plan, margini nedefinite, semitransparent, fara vase sau cu vase foarte fine.
GRAD II
(Semnificativ sau suspect): epiteliu mai alb sau mai opac, margini definite, fara vase sau cu vase dilatate, cresterea distantei intercapilare.
GRAD III(Foarte semnificativ, foarte suspect): foarte alb, sau alb-gri, margini definite, vase cu calibru dilatat de forma neregulata, in virgula, frecvente vase atípice, cresteri variabile ale distantei intercapilare
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Colposcopia
Predictia colposcopica a diagnosticului histologicÍndice colposcopic Reid (RCI)
RCI (punctaj general)
Histología
0 - 2 Probabil NIC 1
3 - 4Leziune suprapusa: Probabil NIC 1 sau NIC 2
5 - 8 Probabil NIC 2-3
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Tab.5 Classificarea colposcopica internationala I. F.C. P. C. 2002
ASPECTE COLPOSCOPICE NORMALE
•Epiteliu pavimentos originar•Epiteliu cilindric •Zona de Trasformare Normala
ASPECTE COLPOSCOPICE ANORMALE
•Epiteliu aceto-alb-plan•Epiteliu aceto-alb reliefat* •Mosaic regulat •Mosaic neregulat* •Punctatie regulata •Punctatie neregulata* •Aria partial iodocaptanta •Aria iodnegativa* •Vase atipice*
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Colposcopia
•QUADRO COLPOSCOPICO SUGGESTIVO PER CARCINOMA INVASIVO
COLPOSCOPIA INSODDISFACENTE
•Giunzione squamocolonnare non visualizzata •Infiammazione grave •Atrofia grave •Cervice non visibile
REPERTI MISCELLANEI
•Condiloma esofitico •Cheratosi •Erosione •Infiammazione •Atrofia •Deciduosi •Polipi
*Modificazioni maggiorifonte: La colposcopia in Italia anno XIX dic. 2002 SICPCV www.colposcopiaitaliana.it
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