COMPARISON BETWEEN VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA) AND COLPOSCOPY IN SCREENING OF CERVICAL CANCER IN RURAL SETUP
Dr. S.A. Inamdar* and Dr. Gitanjali Bulani
ABSTRACT
Introduction: In developing country like India cervical malignancy is a common, preventable and curable cause of morbidity and mortality .Worldwide VIA after PAP smear is the most commonly used screening test for cervical lesions. Colposcopy guided biopsy has been defined to be the gold standard method in diagnosing precancerous lesions of the cervix & used in evaluation and management of cervical lesions. In present study we compare clinical performance of Visual Inspection With acetic acid (VIA) and colposcopy, in the screening for cancer cervix in low resource settings. Method: A cross sectional study was conducted in a tertiary care referral institute in 100 symptomatic women of 30-70 years. Colposcopy and VIA was done for all 100 women who came with complaints of white discharge per vagina, intermenstrual, or postcoital bleeding, etc. Final correlation of the colposcopy and VIA were based on biopsy reports. Result: VIA and colposcopy has almost equal sensitivity (95.24%) & (90.48%) but VIA has low specificity than colposcopy (44.19%) &(67.44%). Conclusion: It is evident that colposcopy is definitely more sensitive and accurate than VIA. By combining colposcopy with VIA, we can maximize the sensitivity and specificity of cancer cervix screening.
Keywords: Malignancy, VIA, colposcopy, Biopsy.
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