Scoring system for the Colposcopic Index

 

Colposcopic Sign  Score 
Zero Points One Point  Two Points
Margin 

Exophytie condylomas; areas showing a circular or micropapillary contoursemicircular

Lesions with distinct edges.

Feathered, scalloped edges.Lesions with an angular, jagged shape.

“Satellite” areas and acetowhitening distal to the original SCJ.

Lesions with a regular(Circular or semicircular) shape, showing smooth, straight edges.

Rolledpeeling edges

 

Any intermal demarcation between areas of differing colposcopic appearance.

Color Shinysnow-white color.

Areas of faint(semitransparent)whitening. 

 

Intermediate shade(Shinybut gray- white) Dull reflectance withoyster-with coler. 
Vessels Fine-caliber vessale, poorly formed patterns. No surface vessals. Definitecoarsepuncation or mosaic.

 

Iodune Any lesion stainingMahogany brown Mustard yellow staining by a minorlesion(by frist 3 criteria) Partial iodineStaining(mottledpattern) Mustard yellow stainingof a singnifrcant lesion(an significant area scoring 3or more points by the frist three criteria

 

1. Scores of 0 to 2 are predictive of menor lesions (subclinical HPV infection and CIN 1 ).

2. Scores of 3 to 5 usually indicate a middle grade lesion (CIN 2).

3. Sores of 6 to 8 generally denote an aneuploin epithelium (CIN 3).