All comments were considered in the development of final recommendations. Highlight selected keywords in the article text. If travel is required for meetings with any industry, the company pays for his travel-related expenses. Logistical and meeting support for this project was provided by ASCCP. In developing the ASCCP Colposcopy Standards for colposcopy procedures, we based the framework for our recommendations on practice patterns endorsed by at least 80% of those survey respondents in the combined moderate- and high-volume groups. Colposcopy. Journal of Gynecology Obstetrics and Human Reproduction. Your healthcare provider might discuss some of the test results with you right away or a couple of weeks later. It uses an instrument with a magnifying lens and a light, called a colposcope. There is a problem with The solution helps highlight any areas of suspicious cells. The difference between "-scope" and "-scopy" is that "-scope" refers to the instrument used for visual examination and "-scopy" refers to the actual visual examination. An assistant or nurse may be on hand to assist. receives royalties from Elsevier Publishing for her Colposcopy Text and Atlas 2004, 2008, and royalties plus stock from SABK Inc for her Colposcopic Image Library on CD, 2004. Please enter a valid 5-digit zip code or city or state. A colposcopyis an in-office diagnostic procedure used to examine the inside of the vagina, vulva, and cervix. Colposcopy is a way to get a close-up look at your cervix. Colposcopy Colposcopyis a medical diagnostic procedure to examine an illuminated, magnified view of the cervix and the tissues of the vagina and vulva. Colposcopy is a safe procedure that carries very few risks. All rights reserved. health information, we will treat all of that information as protected health There are 2 types of biopsies: One takes tissue from outside your cervix. Therefore, Damage to the small filters inside your kidneys is known as glomerulonephritis (the glomeruli). An odor that grows stronger, sticks around, or is accompanied by a thick, cloudy vaginal discharge could indicate an infection. Please try after some time. 3. A negative result means no cancer was detected. Respondents were mostly experienced colposcopists. We categorized the volume of colposcopy practice by number of colposcopy examinations performed each month: 32% indicated that they perform fewer than 6 colposcopies per month (low volume); 46% perform 6 to 20 (intermediate volume); 21% perform more than 20 colposcopies per month (high volume); and 10% of respondents reported that they perform more than 50 colposcopies per month. Papillomavirus Res. Date: 17 hours ago. Explore ACOG's library of patient education pamphlets. There is controversy in the literature over the role of taking random (nondirected) biopsies.810 This was addressed by Working Group 2 of the Colposcopy Standards Committee and they found no added benefit for women with low risk of precancer.11 The evidence from the literature is clear that sensitivity is increased with taking multiple biopsies.7,10 Working group 2 underscored this in most situations using a risk-based approach.11. As for our second charge, based on our review of the literature, we were unable to recommend for or against the use of colposcopic adjuncts. Your information is private and anonymous. https://www.acog.org/Patients/FAQs/Colposcopy?IsMobileSet=false. ASCCP colposcopy standards: Role of colposcopy, benefits, potential harms, and terminology for colposcopic practice. You are exploring the music in your iTunes library. Rather than consider screening test results in isolation, the new guidelines use current and past results, and other factors, to . Please enter your age and the first day of your last period for more accurate abortion options. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Colposcopy is done to detect cervical cancer and changes that may lead to cervical cancer. Youll lie down on an exam table like you would for a pelvic exam. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. A colposcopy is a type of cervical cancer test. It magnifies the normal view, allowing your provider to see problems that can't be seen by the eyes alone. Make a frequency distribution of the counts and describe its shape. Once your healthcare provider removes the speculum, you may need a few minutes to rest. ASCCP. Your doctor may apply a chemical solution to the biopsy area to limit bleeding. Once the device is in position, your healthcare provider may gently cleanse your cervix with saline, either using a spray bottle or a cotton swab. you have an abnormal growth visible on your cervix, vulva, or vagina. ted by ASCCP's Board of Directors. privacy practices. The healthcare provider sees the tissues on the cervix and vaginal walls more clearly. your express consent. It does not explain all of the proper treatments or methods of care. Hopman EH, Voorhorst FJ, Kenemans P, et al. Keyword Highlighting It can also be used to check the result of a treatment. Fewer than half (48%) documented the size of the lesion. Normal cervical tissue usually appears brown when it comes in contact with Lugol's solution, and pre-cancerous cells usually appear yellow. Elsevier; 2020. https://www.clinicalkey.com. \end{array} How should the medical assistant address this with the physician? Your doctor may apply a solution of vinegar or another type of solution to the area. TD 3 : Taux de croissance annuel moyen (TCAM), ap psych unit 4, topic: operant conditioning, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson, Information Technology Project Management: Providing Measurable Organizational Value, Operations Management: Sustainability and Supply Chain Management. It is generally easy to tolerate with few side effects. If we combine this information with your protected A colposcopy is essentially a pelvic exam that makes use of a colposcope, a microscope-like instrument that allows doctors to view the vagina and cervix under magnification. Final revisions were made by the steering committee based on comments received at this meeting. Finally, your healthcare provider may take a tissue sample, if necessary, from theabnormal areas, You may feel mild discomfort or cramping during the biopsy, but this should only last a few minutes. Participants will be exposed to a premier panel of speakers who offer the most current information, reliable guidance and state-of-the-art hands-on experience for all aspects of colposcopy. The discharge may occur from medication used to help stop bleeding at the biopsy site. An improved colposcopic index for differentiating benign papillomaviral infections from high-grade, 6. Write down any questions or concerns you have about the procedure, and ask your doctor to review them with you before your colposcopy begins. During the procedure, a special lighted microscope called a colposcope magnifies the tissue that lines your cervix and vagina. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Only 25% indicated that they use the Reid (24%)5 or Swedescore (1%)6 scoring systems to define their colposcopic impression. The procedure is fully described to the patient. In: Pfenninger and Fowlers' Procedures for Primary Care. . Elements of the colposcopy examination endorsed by at least 80% of survey respondents in the moderate- and high-volume groups formed the base framework for the expert consensus for the working group's recommendations. A colposcopy is a type of cervical cancer test. The colposcope enlarges the view and shines a light onto the vulva, vagina, and cervix. Most Americans get their insurance coverage through an employer-based __________ plan. Colposcopic characteristics and Lugols staining differentiate anal high-grade and low-grade squamous intraepithelial lesions during high resolution anoscopy. Only one of these, dynamic spectral imaging, is Food and Drug Administration approved and marketed in the United States. [citation needed], Acetic acid solution is applied to the surface of the cervix using cotton swabs to improve visualization of abnormal areas. Finally, arrangements should be made to notify the patient of the biopsy and ECS results with follow-up management plans for all colposcopies. Among 71% of the respondents who took random, nondirected biopsies in various situations, 39% took a single biopsy, and 31% biopsy each quadrant with no lesion. The proportion who performs colposcopy increases to 85% when the diagnosis is HSIL, atypical glandular cells, or ASC-H. A total of 20.4% do not routinely perform biopsies in pregnancy. Cryotherapy removes abnormal cells from your cervix. Hero Images / Getty Images. Additionally, where the number of colposcopies performed per month affected the approach to colposcopy, we stratified the survey results by volume of colposcopy practice, i.e. If you need to have a colposcopy, your healthcare provider will schedule it for a time when you are not having your period, as this can change the appearance of the cervix and the bleeding may interfere with optimal visualization. This means theyll take a tiny sample of tissue and send it to a lab. In addition, many doctor's offices post online to a patient portal where you can view test results. A colposcopy allows your healthcare provider to get a better look at your cervix and vaginal walls. Slightly fewer (19%) documented size using drawings, diagrams, and photos. I haven't had any children but would like to in the future. Most people describe it feeling like a sharp pinch or a period cramp. A variety of colposcopic adjuncts have been brought to market in an effort to improve colposcopy performance. For more information, please refer to our Privacy Policy. The working group, therefore, implemented a national survey of current and recent ASCCP members to evaluate common elements of the colposcopy examination. "I'm sorry, I did not understand what you just said. Ninety-seven percent of respondents routinely performed ECS if the SCJ was not fully visualized and if referring cytology was HSIL or ASC-H (two thirds of those who do not perform ECS indicated that a diagnostic excision procedure is routinely planned in this situation.). See more. A colposcopy is a procedure that allows a health care provider to closely examine a woman's cervix, vagina, and vulva. Colpo-punch Colposcopy directed punch biopsy COM Chronic otitis media comm Comminuted Concent smear Concentration smear Conj. The other takes tissue from inside the opening of your cervix. True or false? Read common questions on the coronavirus and ACOGs evidence-based answers. Data is temporarily unavailable. Accessed Nov. 12, 2019. This article details the colposcopy procedure, including why and how it is performed, and what you can expect during the test. In: Comprehensive Gynecology. Multiple biopsies and detection of cervical cancer precursors at, 11. TARGET AUDIENCE: "CIN" stands for cervical intraepithelial neoplasia, and the number describes how abnormal the tissue looks under the microscope. HR 105 Medical Terminology Chapter 17 assignment Word Division Divide each term into all its word elements and give the meaning of each element (1 point per element). Sixty-seven percent have been performing colposcopy for more than 10 years. You may need to wear a sanitary pad until the discharge stops. The draft recommendations were posted online for public comment and presented at an open session of the International Federation for Cervical Pathology and Colposcopy 2017 World Congress for further comment. Approximately one third (33%34%) schedule an office visit to review results. You will lie on an exam table, with your feet and legs supported as for a pelvic exam. The other term you may hear is dysplasia. It is performed similar to a Pap smear but uses an illuminated magnifying instrument (colposcope) to look for cell changes, growths, and inflammation. For instance: Colposcopy is usually done in a doctor's office, and the procedure typically takes 10 to 20 minutes. It is not a substitute for the advice of a physician. A colposcopy is nearly pain-free. If you have a colposcopy with a biopsy, you may have pain and discomfort for 1 or 2 days. They were modified again after considering comments on a national electronic bulletin board posted on the ASCCP Web site (http://www.asccp.org) and after comments solicited during presentation at the International Federation of Cervical Pathology and Colposcopy World Congress April 5, 2017. Hailey MacNear. Read ACOGs complete disclaimer. Colposcopy may also be done if you have certain types of human papillomavirus (HPV) infection. Ask your doctor if it's OK if you listen to music quietly during the exam. The doctor places a metal speculum in your vagina. The use of adjunctive technologies was uncommon. The proportion of physicians and APC colposcopists performing 6 or more colposcopies per month was similar (p = .254). If your doctor finds a suspicious area, a small sample of tissue may be collected for laboratory testing. The DYSIS colposcope allows us to confidently direct biopsies and provide patient education in a seamless manner that fits into our busy clinic flow. In addition, the colposcopist performing a comprehensive examination should document whether cervical manipulation is needed to completely visualize the SCJ, and if lesions are present, the extent of lesion visualized (fully/not fully), lesion size and location, and description (color, contour, border, vascular changes). Colposcopy is used to follow up abnormal cervical cancer screening tests (eg, Pap smear, human papillomavirus [HPV] testing) or abnormal areas seen on the cervix, vagina, or vulva. You will empty your bladder before the procedure. The elements of colposcopy practice in the United States are not well delineated or standardized. It functions as a lighted binocular or monocular microscope to magnify the view of the cervix, vagina, and vulvar surface. low-volume practice (05 colposcopies performed per month), moderate volume (620) and high-volume practice (>20 colposcopies per month). Donations are tax-deductible to the fullest extent allowable under the law. Drexel's Comprehensive Colposcopy Training Course is the expert resource in cervical and lower genital tract pathology. Documentation in minimum colposcopy practice should be at least in text format and, in the comprehensive practice, should include a diagram or photograph, annotated if possible with findings imported into the electronic medical record. Fourteen percent perform a biopsy on more than 1 lesion and only 4% on all visible lesions in pregnancy. Colposcopists who perform a limited number of colposcopy examinations should strive to meet at least the minimum elements. It's also used to remove warts and other growths on other parts of the body. If your doctor or nurse sees something that doesnt look normal, theyll do a biopsy. You may be asked to change into a gown, and your nurse may ask you if you need to empty your bladder so that the test will be more comfortable. 2017;5989105. doi:10.1155/2017/5989105, Jay N, Berry M, Miaskowski C, et al. Waxman, Alan G. MD, MPH1; Conageski, Christine MD2; Silver, Michelle I. PhD, ScM3; Tedeschi, Candice RNC, NP4; Stier, Elizabeth A. MD5; Apgar, Barbara MD6; Huh, Warner K. MD7; Wentzensen, Nicolas MD3; Massad, L. Stewart MD8; Khan, Michelle J. MD, MPH9; Mayeaux, Edward J. Jr MD10; Einstein, Mark H. MD11; Schiffman, Mark H. MD, MPH3; Guido, Richard S. MD12, 1Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, NM; 2Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO; 3Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, 4Private Practice, Great Neck, NY; 5Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston Medical Center, Boston, MA; 6Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI; 7Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham School of Medicine, Birmingham, AL; 8Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO; 9Departments of Obstetrics and Gynecology and Adult and Family Medicine, Kaiser Permanente Northern California, San Leandro, CA. The literature . Planned Parenthood delivers vital reproductive health care, sex education, and information to millions of people worldwide. More than half (53%65%) of survey respondents indicated that they notify patients of results by phone, depending on biopsy results. You may feel a pinch or cramping while this is done. After your procedure, your healthcare provider may recommend that you refrain from putting anything into your vagina for about 48 hours. This study was deemed exempt by the University of Pittsburgh Institutional Review Board. Colposcopy: How to Prepare and What to Know. Translate a magazine ad or advertising slogan into a foreign language you are studying. the unsubscribe link in the e-mail. Diagnosis and treatment of cervical cancer in pregnant women, Colposcopy: How to Prepare and What to Know. Your healthcare provider may insert Lugol's solution, which is composed of iodine and potassium iodide. Expectations for a comprehensive colposcopy examination include, in addition to the elements recommended for minimum practice, history relative to cervical cytology, colposcopy and treatment, parity, contraception, smoking history, HIV status, and HPV vaccination status. Many premalignant lesions and malignant lesions in these areas have discernible characteristics which can be detected through the examination. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. The total play counts over the past year for the 27 songs on your smart playlist are shown below. ASCCP, 23219 Stringtown Rd, #210, Clarksburg, MD 20871. However, if a person needed a biopsy, there may be a risk of infection or bleeding. Those who do are evenly divided (24%25% each) among identifying number of quadrants, estimating size in millimeters/centimeters, and calculating the percent of cervix involved. They'll tell you how many spots of abnormal tissue there is. Spitzer M, Apgar BS, Brotzman GL, et al. Be sure to tell your healthcare provider if you experience severe pain or discomfort as this can be a sign of cervical inflammationor infection. The amount will be on the higher end if a biopsy is needed. The working group performed a systematic literature review to identify best practices in colposcopy methodology and to evaluate the use of available colposcopy adjuncts. The exam takes 5 to 10 minutes, and is a lot like getting a Pap smear. Dont have vaginal sex or put anything in your vagina (like fingers or sex toys) the daybefore your appointment. Your IP: Its a quick and easy way to find cell changes in your cervix that may turn into cancer. hysterosalpingogram (hystero/salpingo/gram) record of the uterus and fallopian tubes. Colposcopic examination. Pelvic Exam: A physical examination of a woman's pelvic organs. For 22% of respondents, the patient's age influenced the decision whether to do ECS, although again high-volume colposcopists were more likely to report this than moderate- or low-volume colposcopists (32%, 17%, and 21%, respectively). Click here for an email preview. A colposcopy is a diagnostic test that can provide your healthcare provider with some results while you are having the test. Recommendations were made for the performance of colposcopy in minimum and comprehensive colposcopy practices. Monsel's solution and silver nitrate interfere with the interpretation of biopsy specimens, so these substances should not be applied until all biopsies have been taken. Tracee Cornforth is a freelance writer who covers menstruation, menstrual disorders, and other women's health issues. The tests that are used include colposcopy (with biopsy), endocervical scraping and cone biopsies. Cervical mapping is a separately identifiable service performed by a physician during a . Sometimes you need more than one biopsy. In this way, nurse practitioners in participating networks are able to complete the entire training process without leaving their local clinic. Some patients experience a degree of discomfort during the curettage, and many experience discomfort during the biopsy. Routine technique (>75% of the time) for examining the cervix included the following elements: The APCs and physicians included these elements in the colposcopy examination at similar rates. Your healthcare provider will then take careful note of what they can see. The atlas deals with the basics and then guides the learner through the intricacies of detecting the changes, differentiating neoplastic from non-neoplastic conditions, and documenting the findings. You can do the things you normally do. Our review of 390 articles in the English language literature retrieved from PubMed from 1982 to 2015 using search terms appropriate for colposcopic technique, methods, and instrumentation did not reveal any evidence supporting or refuting specific colposcopic methodology.4 Our literature search, further, included colposcopic adjuncts as part of our second charge. A colposcopy is an in-office diagnostic procedure used to examine the inside of the vagina, vulva, and cervix. Accessed Oct. 1, 2019. Among colposcopists taking our survey, only 5% indicated that they sometimes or frequently used one of these types of adjuncts. Other reasons for a patient to have a colposcopy include assessment of diethylstilbestrol (DES) exposure in utero, immunosuppression, abnormal appearance of the cervix or as a part of a sexual assault forensic examination. Results Eighty-six posthysterectomy vaginal HSIL patients were included . My Gynecologist is referring me to gynonc for the LEEP as there technicians are better at "preserving fertility" (her words). You may have a little spotting for a couple of days. It is performed similar to a Pap smear but uses an illuminated magnifying instrument (colposcope) to look for cell changes, growths, and inflammation. A colposcopy is typically performed by a gynecologist or other healthcare provider. Treatments for significant lesions include ablative treatments (cryotherapy, thermocoagulation, and laser ablation) and excisional methods (loop electrosurgical excision procedure or LEEP, or Cervical conization). Despite its central role in cervical cancer screening, the accuracy and reproducibility of colposcopy with biopsy as a diagnostic tool are limited. American Society of Clinical Oncologists. B.A. How does the deposit initially change the T-account of the local bank? Which of the following statements would be the most appropriate if a medical assistant didn't understand something the patient had said? A biopsy of these areas may be done. Repeat human papillomavirus (HPV) testing or cotesting at 1 year is recommended for patients with minor screening abnormalities indicating HPV infection with low risk of underlying CIN 3+ (eg, HPV-positive, low-grade cytologic abnormalities after a documented negative screening HPV test or cotest). Cervicocolpitis Cervic-cerviaphasix Colp-vagina itis-infection 3. colposcopy Colpo-vagina Scopy . 231 terms. \hline Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, Precancerous changes in the tissue of the cervix, Precancerous changes in the tissue of the vagina, Bleeding that is heavier than what you typically experience during your period, Avoid scheduling your colposcopy during your period, Don't have vaginal intercourse the day or two before your colposcopy, Don't use tampons the day or two before your colposcopy, Don't use vaginal medications for the two days before your colposcopy, Take an over-the-counter pain reliever, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others), before going to your colposcopy appointment. The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. The ASCCP provided travel and logistic support for the colposcopy standards committee and working groups. https://www.uptodate.com/contents/search. The device is used to help physicians detect precancerous and cancerous tissue. It magnifies the image many times. Peter Weiss, MD, is a board-certified OB/GYN and expert in women's health. 'hollow, womb, vagina' + skopos 'look at') is a medical diagnostic procedure to visually examine the cervix as well as the vagina and vulva using a colposcope. [9], Significant complications from a colposcopy are not common but may include bleeding, infection at the biopsy site or endometrium, and failure to identify the lesion. Conjunctiva COPD Chronic obstructive pulmonary disease Cordo Cordocentesis Less than half of respondents (48%) reported routinely performing colposcopy in the face of a mucopurulent discharge. Monsel's solution is applied with large cotton swabs to the surface of the cervix to control bleeding. In: Netter's Obstetrics and Gynecology. When lesions are identified, these high-volume colposcopists were also more likely to biopsy only the worst-appearing lesion. The colposcope can magnify the area between 10 and 40 times; some devices also can take photographs. You can empty your bladder if you need to, and your nurse may give you a sanitary pad if you have any bleeding. Click to reveal Colposcopy. colposcopy; cervical intraepithelial neoplasia; colposcopy guidelines; colposcopy adjuncts; cervical squamous intraepithelial lesions. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Colposcopy provides more information about the abnormal cells. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. [citation needed]. 1. Anxiety can make you feel generally uncomfortable. Analyses were performed using Stata Version 14. information is beneficial, we may combine your email and website usage information with Colposcopy Colposcopy ( Ancient Greek: , romanized : kolpos, lit. Cells may also be taken from the canal of the cervix. High magnification together with green filter is often used to identify certain vascular patterns that may indicate the presence of more advanced pre-cancerous or cancerous lesions. These practices did not differ by colposcopy volume. Here's how it will go: You'll . Your doctor may recommend colposcopy if your Pap test result is abnormal. Thanks for your feedback. Your doctor may recommend colposcopy if your Pap test result is abnormal. A speculum is placed in the vagina after the vulva is examined for any suspicious lesions. A score of 5 or above is reported to identify all potential high-grade lesions (HGL) and 8 or above to have a 90% chance of being a HGL. A . Your doctor then shines a bright light into your vagina and looks through the lens of the colposcope, as if using binoculars. This gets rid of the bad cells so new, normal cells can grow back in the same spot. It lets your doctor or nurse get a close-up look at your cervix the opening to your uterus. This separates the walls of your vagina so they can get a really good look at your cervix. The action you just performed triggered the security solution. E-mail: [emailprotected]. Some busy gynecological practices only call if the biopsy is positive. This will result in potentially life-changing care and the ability to save lives by . Next theyll look at your cervix through a colposcope an instrument that looks like binoculars on a stand with a bright light. This number increased to 84% in the presence of heavy bleeding. Here are 2 things you can do to make things easier: Schedule your colposcopy for when you wont have your period or when the bleeding is light. These guidelines are intended to serve as a guide to standardize colposcopy across the United States. Working group 3 defined colposcopy procedure guidelines for minimum and comprehensive colposcopy practice and evaluated the use of colposcopy adjuncts. 2019; doi:10.1016/j.jogoh.2019.07.007. During colposcopy, your ob-gyn may see abnormal areas. These technical elements were generally practiced equally among different volume practices, with the exception that fewer (26%) of those with moderate- to high-volume practices (>6 per month) examined the cervix with saline wash before applying 3% to 5% acetic acid and slightly more of this group (62%) routinely examined the vagina colposcopically. Most colposcopists, however, should be able to practice at the comprehensive level. After the procedure this material will be expelled naturally: Patients can expect to have a thin coffee-ground like discharge for up to several days after the procedure. In comprehensive practice, the location of any biopsies and the method of ECS, if done, should be documented. Minimum and comprehensive colposcopy practice guidelines were developed. The primary goal of colposcopy is to identify precancerous and cancerous lesions so that they may be treated early.
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