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The 2011 IFCPC Clinical/Colposcopic terminology of the vulva (including the anus)
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The 2011 IFCPC Clinical/Colposcopic Terminology of the Vulva (Including the Anus)
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Basic definitions |
Various structures:
Urethra, Skene duct openings, clitoris, prepuce, frenulum, pubis, labia majora, labia minora, interlabial sulci, vestibule, vestibular duct openings, Bartholin duct openings, hymen, fourchette, perineum, anus, anal squamo- columnar junction (dentate line)
Composition:
Squamous epithelium: hairy/nonhairy, mucosa
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Normal findings
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Micropapillomatosis, sebaceous glands (Fordyce spots), vestibular redness
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| Abnormal findings |
| General principles: size in centimeters, location |
Lesion type:
• Eczema
• Lichenification &
Excoriation
• Purpura
• Scarring
• Ulcer
• Erosion
• Fissure
• Wart
• Vesicle
• Bulla
• Pustule
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Lesion color:
• Skin-colored & Red
• White
• Dark
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Secondary morphology:
• Macule & Patch
• Papule & Plaque &
Nodule & Cyst
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| Miscellaneous findings |
• Trauma
• Malformation
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| Suspicion of malignancy |
Gross neoplasm, ulceration, necrosis, bleeding, exophytic lesion, hyperkeratosis With or without white, gray, red, or brown discoloration
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| Abnormal colposcopic/other magnification findings
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Acetowhite epithelium, punctation, atypical vessels, surface irregularities Abnormal anal squamocolumnar junction (note location about the dentate line)
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Definitions of Primary Lesion Types⁷
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| Macule |
Small (G1.5 cm) area of color change; no elevation and no substance on palpation
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| Patch
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Large ( 91.5 cm) area of color change; no elevation and no substance on palpation
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| Papule |
Small (G1.5 cm) elevated and palpable lesion
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| Plaque
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Large ( 91.5 cm) elevated, palpable, and flat-topped lesion
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| Nodule |
A large papule ( 91.5 cm); often hemispherical or poorly marginated; may be located on the surface, within, or below the skin; nodules may be cystic or solid
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| Vesicle
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Small (G0.5 cm) fluid-filled blister; the fluid is clear (blister: a compartmentalized, fluid-filled elevation of the skin or mucosa)
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| Bulla |
A large ( 90.5 cm) fluid-filled blister; the fluid is clear
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| Pustule
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Pus-filled blister; the fluid is white or yellow
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Definitions of Secondary Morphology Presentation
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| Eczema
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A group of inflammatory diseases that are clinically characterized by the presence of itchy, poorly marginated red plaques with minor evidence of microvesiculation and/or, more frequently, subsequent surface disruption
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| Lichenification |
Thickening of the tissue and increased prominence of skin markings. Scale may or may not be detectable in vulvar lichenification. Lichenification may be bright-red, dusky-red, white, or skin colored in appearance
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| Excoriation
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Surface disruption (notably excoriations) occurring as a result of the "itch-scratch cycle"
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| Erosion |
A shallow defect in the skin surface; absence of some, or all, of the epidermis down to the basement membrane; the dermis
is intact
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| Fissure
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A thin, linear erosion of the skin surface
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| Ulcer |
Deeper defect; absence of the epidermis and some, or all, of the dermis
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CREDITS:
Table created from the reference: Bornstein J, Sideri M, Tatti S, Walker P, Prendiville W, Haefner HK For the Nomenclature Committee of the International Federation for Cervical Pathology and Colposcopy 2011 Terminology of the Vulva of the International Federation for Cervical Pathology and Colposcopy.Journal of Lower Genital Tract Disease, Volume 16, Number 3, 2012, 290-295
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