Cervicogram as a Primary Screening Test Table 1. Evaluation Report-Cervicogram-Slide New Cervicography System A. Adequacy of the Cervicogram for evaluation Satisfactory for evaluation: visible SCJ and Transformation Zone (T-Zone) ( ) Satisfactory for evaluation: visible SCJ but no T-Zone visible ( ) Unsatisfactory for evaluation: Both SCJ and T-Zone are visible acetowhite ( ) B. Findings/cervicogram-Descriptive diagnosis Negative-no definite lesion, routine basis-screening N-1. ___Components of T-zone are visible N-2. ___Components of T-zone are visible-endocervical cytology/HPV test Benign Atypical-A Cervicogram picture, cytology, and HPV Test are recommended in 3___, 6___ , 12___, months B-1. ___A lesion of doubtful significance is visible inside the T-zone B-2. ___A lesion of doubtful significance is visible outside the T-zone Suspicious Atypical-Probable normal variant, but repeat cervicography and HPV Test in 1___, or 3___month, and colposcopy is recommended to exclude significant disease (hall markers or positive lesions) S1___ 1 month ___ 3month ___ repeat cervicography Location S2___ colposcopy and biopsy Positive-Colposcopy and biopsy is recommended Location PL ___ Compatible with low grade lesion A __ B __ Acetowhite epithelium PH ___ Compatible with high grade lesion Punctation PC ___ Compatible with invasive cancer Erosion or ulcer Discoloration Unsatisfactory-Cervicography again( ) Mosaic UT __ Technical defect, UO __ Others (Info ___, anatomic ____ ) Atypical vessels Other ___ non epitheliological disease or malignancy e.g. sarcoma Irregular surface Vulva( ), Vagina( ), Urethra( ) Definition of Evaluation Report-Terminologies and Classifications Adequacy of the Cervicogram for evaluation Visibility of SCJ (Congenital and secondary) and T-zone is very important for satisfactory evaluation Findings of Cervicogram Negative - no definite lesion are visible Benign atypical - character of the lesion in terms of site and morphology is considered presently to be of nonspecific significance Suspicious atypical - although some of hall markers are visible, the lesion is considered probable normal variants. Colposcopy, however, is recommendable immediately or certain period of observation to exclude significant disease. Positive - character of the lesion in term of site and morphology is considered, the appearance warrants colposcopy to exclude significant disease A. A lesion extending into the canal, the visible portion of which is presently considered to be of doubtful significance. B. A lesion compatible with low-grade intraepithelial disease. Unsatisfactory for Evaluation of the Cervicogram TD - not adequate for evaluation by technical defect UO- not adequate by other reason, Inflammation, anatomic defect etc Yonsei Med J Vol. 46, No. 2, 2005