Chapter 2. Pre-Invasive Disease, Colposcopy and Adenocarcinoma

  1. Ruth Dunleavey

Published Online: 19 FEB 2009

DOI: 10.1002/9780470988046.ch2

Cervical Cancer: A Guide for Nurses

Cervical Cancer: A Guide for Nurses

How to Cite

Dunleavey, R. (2008) Pre-Invasive Disease, Colposcopy and Adenocarcinoma, in Cervical Cancer: A Guide for Nurses, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9780470988046.ch2

Author Information

  1. Department of Haematology/Medical Oncology, St Vincents Hospital, Sydney, Australia

Publication History

  1. Published Online: 19 FEB 2009
  2. Published Print: 12 DEC 2008

ISBN Information

Print ISBN: 9780470061015

Online ISBN: 9780470988046



  • pre-invasive disease, colposcopy and adenocarcinoma;
  • cervical cytology testing;
  • colposcopy;
  • cervical cytology and conventional smear versus liquid based cytology (LBC);
  • high grade CIN management;
  • adenocarcinoma of cervix;
  • adenocarcinoma in situ (AIS);
  • adenosquamous carcinoma;
  • diethylstilbestrol (DES) exposure and adenocarcinoma


This chapter contains sections titled:

  • Introduction

  • Cervical cytology testing

  • Cervical cytology: conventional smear versus liquid based cytology (LBC)

  • An abnormal smear – what next?

  • Colposcopy

  • When is a colposcopy performed?

  • How is a colposcopy performed?

  • Nursing care of a patient undergoing a diagnostic colposcopy

  • Who carries out colposcopies?

  • Management of high grade CIN

  • Ablative techniques

  • Excisional techniques – cervical conisation

  • Which CIN treatment is the best?

  • ‘See and treat’ colposcopy

  • Adenocarcinoma of the cervix

  • Stages of adenocarcinoma

  • Adenocarcinoma in situ (AIS)

  • Microinvasive adenocarcinoma

  • Invasive adenocarcinoma

  • Adenosquamous carcinoma

  • Diethylstilbestrol (DES) exposure and adenocarcinoma

  • Conclusion

  • Frequently asked questions

  • Resources

  • References