Rajvinder DhillonSpecialist Biomedical Scientist &

colposcopist

“kolpos”-hollow “skopos”- examine

1925 Hinselmann-invented colposcope

1928 Schillers test

1941 Papanicolaou & Traut – cervical smears

Saline- Green filter. Vascular pattern

Acetic acid- coagulation of proteins on the cervix

Lugols’ iodine- Schillers test. Staining of non-glycogen containing epithelium

3rd inadequate smear mild/moderate/severe/ smear 2 week wait: ?glandular neoplasia/ ?invasive

Suspicious cervix Stenosed Os Poor access Unable to locate cervix

Examine vulva Insert speculum Use green filter Apply acetic acid apply iodine Biopsy Treatment (LLETZ, laser, cold coagulation)

Low grade ACW High grade ACW

Give patients adequate information in simple terms

Inform colposcopists of any history of abuse

Encourage compliance with follow-up

Refer any suspicious cervix under 2 week wait

THANKYOU