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Review
. 2020 Dec:255:40-43.
doi: 10.1016/j.ejogrb.2020.09.049. Epub 2020 Oct 2.

Using technology to harmonise treatment approaches in colposcopy in the face of a changing environment

Jennifer Byrom  1 , Phyllis Dunn  2 , Gemma Ferguson  3 , Simon Leeson  4 , Charles Redman  5 , John Smith  6 , John Tidy  7
Affiliations
Review

Using technology to harmonise treatment approaches in colposcopy in the face of a changing environment

Jennifer Byrom et al. Eur J Obstet Gynecol Reprod Biol. 2020 Dec.

Abstract

The overall numbers of precancerous lesions are expected to fall as human papillomavirus (HPV) vaccinated women enter the cervical screening programme. Juxtaposed against an increase in referrals from the introduction of primary high-risk HPV screening, colposcopists expect to see a decreasing incidence of high-grade cervical intraepithelial neoplasia (CIN). Correct identification of lesions will become more challenging, as the prevalence of high-grade lesions becomes minimal and conventional colposcopy is subject to a lower sensitivity. In this review, we explore the scenarios where adjunct technologies could support colposcopists to manage referrals and diagnose treatable lesions with more confidence.

Keywords: Adjunct technologies; CIN; Cervical cancer; Colposcopy; HPV; Screening; Vaccination.

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