
Case-Based Practical Training of Colposcopy and Cervical Pathology
With Diagrams and Images
- 1st Edition - July 23, 2024
- Imprint: Academic Press
- Authors: Nadereh Behtash, Narges Izadimood, Elham Shirali, Fatemeh Nili, Shahrzad Sheikhhasani, Sara Ramhormozian
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 2 4 7 9 4 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 4 7 9 5 - 8
Case-Based Practical Training in Colposcopy and Cervical pathology: With Diagrams and Images is an illustrated reference to improve theoretical and practical knowledge to unders… Read more

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- Includes histopathology features of the same patients
- Describes serial diagnostic and therapeutic steps of every patient case for practical use
- Provides unique Colposcopic photographs of uterine cervix for diagnostic visuals
- Cover image
- Title page
- Table of Contents
- No woman should ever die of cervical cancer
- Copyright
- Dedication
- Contributors
- Preface
- Foreword
- Acknowledgments
- List of abbreviations
- Chapter 1. History
- Cervical cancer
- Cervical cancer screening
- Cervical cancer screening guidelines
- Chapter 2. Epidemiology
- Prevalence
- Prevalence in low-income countries
- Survival and stage at diagnosis
- Cervical cancer elimination
- Role of HPV in cervical cancer
- Chapter 3. Prevention, screening, vaccination
- Prevention
- Screening
- Criteria for screening tests
- Screening methods for cervical cancer
- HPV vaccination
- HPV vaccine side effects
- Recommended HPV vaccine dosing
- Pre/postvaccination recommendations
- Catch up vaccinations
- Cervical screening postvaccination
- Changing to 9-valent vaccine
- HPV vaccination contraindication
- HPV vaccine and immune deficiency
- Chapter 4. Colposcope
- Objective lenses and focal length
- Illumination and filters
- Magnification
- Oculars and monocular-observation tubes
- Video and photographic systems for optical colposcopes
- Mounting
- Focus controls
- Cost
- Colposcope care
- Examination table and instrument stand
- Colposcopic instruments
- Chemical agents and supplies
- Silver nitrate sticks
- Topical and local anesthetics
- Disposable supplies
- Colpophotography
- Image, data management, and patient tracking systems
- Chapter 5. Colposcopy
- Colposcopy indications
- Colposcopy contraindications
- Who is a colposcopist?
- Colposcopy preparation
- Initial clinical workup
- Adjustments to personalize the colposcope
- Systematic approach to colposcopy
- Insert vaginal speculum and inspect cervix
- Obtain a cervical cytology smear, if necessary
- Obtain specimens for laboratory examination, if necessary
- Apply normal saline solution
- Apply acetic acid
- Apply Lugol's iodine solution
- Colposcopy directed cervical biopsy
- Apply Monsel's paste or silver nitrate stick after biopsy
- Perform endocervical curettage, if necessary
- Performing ECC
- Inspect vaginal walls, vulva, perineum, and perianal areas
- Bimanual and rectal examination
- Explain the findings to the woman
- Document the findings
- Postprocedure instructions
- After colposcopy
- Chapter 6. Terminology
- International Federation for Cervical Pathology and Colposcopy (IFCPC) nomenclature 2011
- Identification of the TZ
- “Must do” steps in doing colposcopy
- Abnormal colposcopic findings are categorized in two groups
- Acetowhite epithelium
- Leukoplakia
- Cuffed crypt (gland) opening
- Inner border sign
- Ridge Sign
- Umbilication
- Punctation
- Mosaicism
- Atypical blood vessels
- Condylomata
- Chapter 7. Normal anatomy, histology, and cytology
- Anatomy
- Normal histology
- Normal cytology
- Transition/transformation zone (TZ)
- Squamous metaplasia
- Chapter 8. Cytology definitions of squamous and glandular abnormalities
- Terminology and historical perspective
- Definition and morphological criteria for the diagnosis of epithelial cell abnormalities
- Atypical squamous cell- cannot exclude HSIL (ASCH)
- Low grade squamous intraepithelial lesion (LSIL)
- High grade squamous intraepithelial lesion (HSIL)
- Squamous cell carcinoma (SCC)
- Atypical endocervical cell, NOS
- Atypical endometrial cell, NOS
- Atypical endocervical cell, favor neoplastic
- Endocervical adenocarcinoma in situ
- Endocervical adenocarcinoma
- Chapter 9. Histopathology definitions
- Terminology and historical perspective
- WHO 2020 recommended terminology
- Morphologic diagnostic criteria of squamous intraepithelial lesions (SIL)
- SIL grading
- Koilocytic change
- Histopathologic features of low grade squamous intraepithelial lesion (CIN 1, condyloma)
- Morphologic variants of LSIL
- Papillary immature metaplasia1
- Flat cervical intraepithelial lesions (CIN1)
- Histopathologic features of high grade squamous intraepithelial lesion (CIN2, 3)
- HSIL (CIN2)
- HSIL (CIN3)
- Morphologic variants of HSIL
- Squamous cell carcinoma
- Adenocarcinoma in situ (AIS)
- Adenocarcinoma
- Usual type endocervical adenocarcinoma7: The most common type of HPVA ECA
- HPV-independent endocervical adenocarcinoma
- Other types of invasive carcinoma
- Chapter 10. Standard reporting of cervical biopsy, endocervical curettage, excisional procedures and hysterectomies for invasive carcinoma (diagnosis)
- Biopsy and endocervical curettage (ECC)
- Excisional procedures (Loop electrosurgical excision procedure (LEEP) or conization)
- Hysterectomy specimens
- Chapter 11. Atypical squamous cells of undetermined significance (ASC-US) and low grade squamous intraepithelial lesion of cervix (CIN1)
- Atypical squamous cells of undetermined significance (ASC-US)
- Low-grade squamous intraepithelial lesion (LSIL)
- Histologic features of low-grade squamous intraepithelial lesion (CIN1)
- Management of patients 25 years or older with histologic LSIL (CIN 1)
- Management of patients <25years with histologic LSIL (CIN 1)
- Chapter 12. High-grade squamous intraepithelial lesion (CIN 2, 3)
- Cytologic definition and morphologic criteria of ASC-H and HSIL
- Histologic features of HSIL
- Management of Histologic-HSIL (CIN 2 or 3)
- Chapter 13. Adenocarcinoma in situ
- Cytologic definition and morphologic criteria of atypical glandular cell (endocervical), not otherwise specified (NOS), favor neoplastic, adenocarcinoma in situ, and invasive adenocarcinoma
- Histologic features and classification of adenocarcinoma in situ
- Management of AIS
- Chapter 14. Invasive carcinoma
- Cytologic definition and morphologic criteria of squamous cell carcinoma (SCC)
- Histologic features and classification of SCC
- Histologic features and classification of endocervical adenocarcinoma
- Management of early stage cervical cancer (stage IA1, IA2, IB1, IB2)
- Chapter 15. Colposcopy during pregnancy
- Managing patients during pregnancy
- Chapter 16. Expedited treatment
- Chapter 17. Treatment of cervical pre-invasive lesions
- Introduction
- Choosing the treatment approach
- Need for diagnostic Specimen
- Ablative treatment
- General procedural issues
- Choosing an ablation technique
- Excisional procedures
- Early complications
- Reproductive effects of treatment
- Mechanisms for adverse reproductive effects
- Obstetric complications
- Modifying factors
- Procedure in pregnancy
- Obstetric management in subsequent pregnancy
- Re-excision in CIN
- Hysterectomy in CIN
- Index
- Edition: 1
- Published: July 23, 2024
- Imprint: Academic Press
- No. of pages: 460
- Language: English
- Hardback ISBN: 9780443247941
- eBook ISBN: 9780443247958
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Nadereh Behtash
Nadereh Behtash M.D. is a Professor of Gynecology Oncology at the Tehran University of Medical Sciences. She is the founding member of Gynecology Oncology subspecialty in Tehran University and the founding member of Iranian Society of Gynecology Oncology (IRSGO) She has a scientific Gynecology Oncology Whatsapp group with more than 200 academic members.
She was the President of Iranian Society of Gynecology Oncology (2015-2018), the Editor-in Chief of Journal of Obstetrics, Gynecology and Cancer Research (JOGCR), Editor-in Chief of Tehran University Medical Journal (TUMJ) the first Medical Journal of Iran, and has published ~50 PubMed indexed papers and 5 Gynecology Oncology related books. She's an international presenter (~100 lectures) in Gynecology and Oncology. He's performed more than 1000 Registered Colposcopy Procedures per year, 5 Major Gynecology Oncology Surgeries and 2-3 Conizations per week during the last 20 years.
NI
Narges Izadimood
ES
Elham Shirali
Dr Elham Shirali received her degree in medicine in 2001, her specialty in obstetrics and gynecology in 2010 and her gynecologic oncology fellowship in 2014 from Tehran University of Medical Sciences(TUMS). She is currently Associate Professor of Gynecologic Oncology at the Gynecologic Oncology departmant of Yas hospital, Tehran, Iran affiliated by TUMS. She has published 39 publications in peer-reviewed international scientific journals, 8 Gynecologic book chapter translations from English to Persian and 2 Gynecologic Oncology Educational guidelines. She has been lecturer of many national congresses in Iran. She is President of “Iranian Society of Colposcopy and Cervical Pathology (ISCCP), Inspector of Board of Directors of “Iranian Society of Gynecological Oncology(IRSGO), Member of the Fellowship Training Committee of the Obstetrics and Gynecology Department and Member of the Research Committee of the Obstetrics and Gynecology Department. She is currently head of the Gynecologic Oncology ward at Yas Hospital.
FN
Fatemeh Nili
Fatemeh Nili was born in Kerman, Iran on 6th April 1983. She was graduated in MD degree, Specialty of pathology and Gynecology pathology at 2010, 2014 and 2022 from Isfahan and Tehran University of Medical Sciences, respectively.
Second rank in the Iranian Board of Pathology National Exam (2014), First rank among the graduated residents of pathology in Tehran University of Medical Sciences (2014), and First rank among the graduated students of medicine in Isfahan University of Medical Sciences (2010) are the honors. Associate Professor at Tehran University of Medical Sciences, Imam Khomeini Hospital Complex, since 2014. Currently she has about 60 publications and 25 research projects/thesis in the special fields.
Board Member of Iranian Gynecology Oncology Association (2015-2017), Technical director of Imam Khomeini hospital pathology department (2015 till now) and Editorial board of Iranian Journal of pathology (2020 till now) are the main executive activities.
SS
Shahrzad Sheikhhasani
Dr. Sheikhhasani is an Associate Professor at Tehran University of Medical Sciences and an Obstetrician, Gynecologist and Oncologist at Vali Asr Hospital. She is a member of the Scientific Committee of Congress of Iranian Society of Gynecology Oncology and Iranian Society of Colposcopy and Cervical Pathology (ISCCP). She has published ~40 articles and working as an Associate Professor in the main General Hospital and referral oncologic center at Valisar Hospital. She has performed more than 500 colposcopic exams, and more than 70 conizations per year, since 2013. She has performed complicated major GYN-Oncologic surgeries in the main center of oncology in Iran.
SR
Sara Ramhormozian
Dr Sara Ramhormozian entered Tehran University of Medical Sciences(TUMS) in 2008 after being top-ranked among all participants of the National Iranian Entrance. She received her degree in Medicine in 2016 and specialty in Obstetrics and Gynecology in 2021 from TUMS. She is currently board certified and doing her obligatory duties by working as an obstetrician and gynecologist in deprived areas of Iran. Her research activity since the begining of her residency program has mostly involved Gynecology Oncology which is also her field of interest and she is about to start her Fellowship in Gynecology Oncology in TUMS in few months. She has published 8 publications in peer-reviewed international scientific journals and 8 Gynecologic book chapter translations from English to Persian. She is currently inspector of Iraninan Society for Colposcopy and Cervical Pathology (ISCCP). She is also memeber of Iran’s National Elites Foundation since 2008.