Abstract
Objectives
To study the place of visual inspection of cervix with acetic acid in screening for CIN and cancer cervix and to compare and correlate the efficacy of VIA with cervical cytology in early detection of cancer cervix.
Methods
This cross sectional study took place in the Gynaecology out patient department (GGOPD) of NSCB Medical College, Jabalpur between June 2005 and September 2006. Out of the total 16,400 women who attended GOPD during this period, 750 women were screened for CIN and early cancer cervix. VIA and pap smears were done concurrently and their sensitivity and specificity compared. For ethical reasons all those who were found positive were subjected to colposcopy and further management as per standard guidelines.
Results
Out of the 750 women screened VIA was positive in 122 (16.26%) women and cytology was positive in 39 (5.2%) cases of the true positive (27 cases). The difference between the two tests was statistically significant (P=0.000001) VIA being highly sensitive (93.1%) buy less specific than cytology.
Conclusion
The high sensitivity of VIA shows that the test could be valuable in detection of precancerous lesions of the cervix.
Key words: cervical carcinoma, screening, VIA cytology
Full Text
The Full Text of this article is available as a PDF (1.9 MB).
References
- 1.Bosch F.X., Sanjose S. Chapter 1: Human papillomavirus and cervical cancer — burden and assessment of causality. J Natl Cancer Inst Monogr. 2003;31:3–13. doi: 10.1093/oxfordjournals.jncimonographs.a003479. [DOI] [PubMed] [Google Scholar]
- 2.Kim S.J. Role of colposcopy and cervicography in screening and management of precancerous lesions and early invasive cancer of uterine cervix. J Obstet Gynecol India. 2000;50:134–146. [Google Scholar]
- 3.Saraiya U. Relevance of cytology services in India today. J Obstet Gynecol India. 1986;36:379–384. [Google Scholar]
- 4.Sankaranarayanan R., Black R.J., Parkin D.M. Cancer survival in developing countries. Lyon: International Agency for Research on Cancer; 1998. [Google Scholar]
- 5.Cervical cancer screening in developing countries: report of a WHO consultation. Geneva, WHO, 2002:25–36.