Nouvelle classification française des images colposcopiques

• Published in: Gynécologie, obstétrique, fertilité & sénologie obstétrique, fertilité & sénologie, 2023-05, Vol.51 (5), p.239-248
• Main Authors: Mergui, J.-L., Gondry, J., Hocquemiller, R., Carcopino, X.
• Format: Article
• Language: fre
• Subjects: Human health and pathology; Life Sciences
• ISSN: 2468-7189; 2468-7197; 2468-7189
• DOI: 10.1016/j.gofs.2023.02.004

Objectives. - To revise the 1983 colposcopic terminology form the French Society of Colposcopy and cervicovaginal pathology (SFCPCV).Methods. - All the three following steps of colposcopic examination were considered for the description of various colposcopic features: inspection without coloration, followed by the application of acetic acid and iodine staining. This revised terminology now includes the different possible colposcopic aspects of the normal cervix, including the ectropion and the normal transformation zone. It also includes colposcopic appearance of abnormal glandular cervical epithelium and of vaginal epithelium. The revised nomenclature was reviewed by all the board of the SFCPCV and was finally approved during the 45th annual conference of the SFCPCV.Results. - Abnormal transformation zone grade (TAG) 1a and 1b have been brought together under the sole TAG1 designation. TAG2a and TAG2b now correspond to TAG2, whereas TAG2c corresponds to TAG3. Colposcopic report should mention the interpretability of the colposcopic examination, with the precise type of the squamocolumnar junction (1, 2 or 3), the colposcopic impression, the size of any TAG and finally mention whether one or multiple biopsies were taken and their precise location. Colposcopic impression must give priority to the most pejorative colposcopic aspect which takes precedence over others.Conclusion. - When performing colposcopy, one should keep in mind that this examination only relies on the interpretation of various colposcopic signs and images with this not guaranteeing for diagnosis. Only histological analysis of a possible guided cervical biopsy provides for a precise diagnosis. ObjectifsMettre à jour la classification de la SFCPCV des images colposcopiques initialement proposée en 1983.MéthodesChaque tableau colposcopique a été décrit à partir des éléments des trois temps de l’examen colposcopique. Les situations colposcopiques suivantes ont été décrites : les aspects du col normal, les anomalies de l’épithélium malpighien du col utérin et du vagin, les anomalies de l’épithélium glandulaire, et les signes non spécifiques. Après relecture par les membres du conseil de direction de la SFCPCV, la nouvelle classification a été validée à l’occasion des 45es journées de la SFCPCV.RésultatsLes Transformations Atypiques (TA) TAG1a et 1b ont été regroupées en un seul et unique tableau colposcopique (TAG1). Les TAG2a et 2b ont été regroupées en TAG2. Les TAG2c correspondent désormai