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2011 Terminology of the Vulva of the International Federation for Cervical Pathology and Colposcopy

Bornstein, Jacob MD, MPA1; Sideri, Mario MD2; Tatti, Silvio MD3; Walker, Patrick MD4; Prendiville, Walter MD5; Haefner, Hope K. MD6; For the Nomenclature Committee of the International Federation for Cervical Pathology and Colposcopy

Journal of Lower Genital Tract Disease:
doi: 10.1097/LGT.0b013e31825934c7
Original Articles
Abstract

Objective: This study aimed to present the clinical and colposcopic terminology of the vulva (including the anus) of the International Federation of Cervical Pathology and Colposcopy.

Materials and Methods: The terminology has been developed by the International Federation of Cervical Pathology and Colposcopy Nomenclature Committee during 2009–2011.

Results: The terminology is part of a comprehensive terminology of the lower genital tract, allowing for standardization of nomenclature by colposcopists, clinicians, and researchers taking care of women with lesions in these areas. The terminology includes basic definitions and normal findings that are important for the clinician lacking experience with management of vulvar disease. This terminology introduces definitions for abnormal findings recently accepted by the International Society for the Study of Vulvovaginal Disease and includes patterns to identify malignancy.

Conclusions: The terminology differs from past terminologies in that it includes colposcopic patterns and anal colposcopy. Nevertheless, the role of the colposcope in the management of vulvar disease is limited.

In Brief

A clinical and colposcopic terminology of the vulva, including the anus, describing the nomenclature of normal and abnormal findings, is provided.

Author Information

1Department of Obstetrics & Gynecology, Western Galilee Hospital, and Bar-Ilan University Galilee Faculty of Medicine, Nahariya, Israel; 2Preventive Gynecology Unit, Gynecology Division, European Institute of Oncology, Milan, Italy; 3University of Buenos Aires, Buenos Aires, Argentina; 4Department of Gynaecology, Royal Free Hospital, London, UK; 5The Beacon Hospital, Sandyford, Dublin, Ireland; and 6Department of Obstetrics and Gynecology, L4000 Women’s Hospital, The University of Michigan Hospitals, Ann Arbor, MI

Reprint requests to: Jacob Bornstein, MD, MPA, Department of Obstetrics and Gynecology, Western Galilee Hospital, PO Box 21, Nahariya 22100, Israel. E-mail: mdjacob@gmail.com

Dr Walker was the president of International Federation of Cervical Pathology and Colposcopy, 2008–2011.

The 2009–2011 International Federation of Cervical Pathology and Colposcopy nomenclature committee: Jacob Bornstein, James Bentley, Peter Bösze, Frank Girardi, Hope Haefner, Michael Menton, Myriam Perrotta, Walter Prendiville, Peter Russell, Mario Sideri, Björn Strander, Silvio Tatti, Aureli Torne, and Patrick Walker.

©2012The American Society for Colposcopy and Cervical Pathology