Procedure
Diluted vinegar and iodine solution is usually used for dabbing during the examination. The two substances facilitate the identification of pathologically altered areas that may be responsible for a pathological cancer smear (Pap). As a rule, the findings are recorded photographically, which on the one hand serves as documentation and on the other hand allows for optimal comparisons over the course of the treatment. If the colposcopy reveals an abnormal finding, it can be biopsied immediately. A small fragment of tissue is removed from the cervix and vagina, which can be done painlessly without anesthesia. In the area of the external genitalia, a local anesthetic is administered before the biopsy. If a change in the cervical canal is suspected, a curettage can be performed during the examination: using a fine instrument, some mucous membrane can be removed from the cervical canal. The material obtained is examined microscopically by the pathology department.
Care of pregnant patients with precancerous lesions
The occurrence of abnormal cancer smears or the worsening of a pre-existing abnormal smear result are not uncommon during pregnancy. Due to pregnancy-related changes to the cervix, its colposcopic assessment requires appropriate experience. Treatments in these situations are carried out with extreme caution so as not to jeopardize the pregnancy. The risk of developing cancer during pregnancy can be minimized through close monitoring and targeted investigations. You are welcome to consult a dysplasia consultation for advice and a check-up.
