Monday 26 May, 2014 Westminster Suite, QEII Conference Centre, London EFC Colposcopy Workshop 09:00-16:30 Aims The aim is to provide an introduction to colposcopic methodology. Objectives At the end of the course the participant should: • have an understanding of cervical neoplasia natural history of cervical cancer anatomy metaplasia (including CTZ), dysplasia cervical cancer screening/ relevance of cytology to colopsocpic findings • understand how the colposcopic image is formed and its significance explanation of the components of the colposcopic image significance of the squamo-columnar junction variations in vasculature understanding of what aceto-whitening is and represents correlation of colposcopic findings with histology / cytology • have a basic competence in colposcopic image recognition normal cervix squamo-columnar junction low-grade pre-invasive abnormality high-grade pre-invasive abnormality invasive • have an understanding of the role of colposcopy in clinical management practical guide to methodology damage limitation – to enable conservative management concept of adequate colposcopy and when colposcopy has limited value audit/quality assurance • be able to formulate a management plan on the basis of a colposcopic examination Chair: Mr Simon Leeson, UK Session 1: Image recognition 09:00 Introduction 09:15 Lecture 1: Colposcopic principles Mr Simon Leeson, UK Aim Provide an overview of the basic concepts of colposcopy Objectives Explain the key questions that must be addressed in any colposcopic examination Illustrate the SCJ and explain its significance Outline the colposcopic features of abnormality Describe normal cervical histological morphology (incl metaplasia/SCJ) Describe normal findings – including effects of age and pregnancy Describe the features of CIN/ cGIN/ VaIN Describe the features of cervical cancer Indicate the key steps in colposcopic decision making Comment To lay down the template for the next interactive session 10.00 Interactive session 1 Colposcopic Images Miss Esther Moss, UK/ Prof Pekka Nieminen, UK 11.00 Coffee Break 11.30 Session 2: Colposcopic diagnosis Interactive session 2 Colposcopic Images Mr Charles Redman, UK/ Mr Simon Leeson, UK 12.30 Lecture 2: Colposcopic diagnosis Prof Pekka Nieminen, UK Aim Provide an overview of the basic diagnostic principles of colposcopy Objectives Describe common non-neoplastic pathology Describe the features of CIN/ cGIN/ VaIN Describe the features of cervical cancer Indicate the key steps in colposcopic decision making Comment To lay down the template for the next interactive session 13.00 Lunch Break Session 3: Colposcopic management 14:00 Lecture 3: Colposcopic management Mr Charles Redman, UK Aim To describe the role of colposcopy in the management of CIN Objectives Refer to the European guidelines Illustrate the relative value of colposcopy in relation to cytology and clinical setting Describe the influence of colposcopic findings on management Describe the different types of biopsy (CDB, simple excisional, extended) colposcopic findings on management Comment To lay down the template for the next interactive session 14.45 Interactive session 3 Clinical Cases Miss Esther Moss, UK/ Prof Pekka Nieminen, UK 16.00 – 16:30 Close – meeting feedback; certificates Mr Simon Leeson, UK
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