Internal Federation for Cervical Pathology and Colposcopy Nomenclature and Treatment for Cervical Preinvasive Disease

Abstract

To examine the effects of IFCPC transformation zone type and treatment modality on outcome from excisional treatments for cervical pre-invasive disease at an inner city colposcopy department. All patients treated within the colposcopy department for whom age, treatment modality, resection margin status at histology and six-month cytologic data was available. Transformation zone type is affected by patient age. Change in accessibility of the transformation zone to examiantion by colposcopy affected cytologic outcome. There was no obvious effect of treatment modality to explain this change in outcome. Transformation zone type is an important determinant of excisional treatment outcome for cervical disease. This needs to be considered when comparing therapeutic success.