Dynamic Cervical Epithelial Membrane Peeling UnderNarrow-Band Imaging:Vascular Depth and Functional Interpretation Using the Salwa Anter Classification**

BackgroundInflammatory cervical conditions may lead to epithelial membrane instability andmucosal peeling, a phenomenon that is poorly defined under conventionalcolposcopy and frequently misinterpreted as necrosis or malignant invasion.Narrow-band imaging (NBI) enhances visualization of cervical microvasculature and.epithelial transparency, enabling functional interpretation of epithelial integrityObjectiveTo characterize dynamic cervical epithelial membrane peeling under NBI and tointerpret its associated vascular patterns using the Salwa Anter Classification, a.functional, biology-based vascular frameworkMethodsNBI endoscopic examination of the cervix was performed in cases presenting withinflammatory cervicitis. Distinct zones of epithelial integrity, active peeling, andpost-peeling stromal exposure were analyzed. Vascular depth, architecture,behavior, and epithelial context were interpreted according to the Salwa Anter.Classification, derived from the Functional Cervical Vascular FrameworkResluat reproducible spectrum of cervical epithelial peeling stages was identified, rangingfrom epithelial thinning to complete stromal denudation. Increasing vascular depthobserved under NBI correlated with progressive epithelial loss rather thanangiogenesis. Vascular architecture remained preserved across all stages,.supporting a non-neoplastic mechanismConclusionDynamic cervical epithelial membrane peeling represents a distinct inflammatoryphenomenon that can be reliably classified using the Salwa Anter Classification.Functional interpretation of vascular depth is essential to avoid misdiagnosis and.unnecessary invasive intervention