Comparative study between Pap smear and VIA in screening of cancer cervix in rural population
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 1
Abstract
Background: Carcinoma cervix is the second most common cancer among women in India. There is a significant reduction in carcinoma cervix incidence and mortality with implementation of intensive screening programs. Aims and Objectives: The objective of the study was to screen patients between 18 and 60 years by Pap smear and VIA for cervical cancer and to detect sensitivity and specificity of each test and compare the VIA positive cases with colposcopic study. Materials and Methods: This was a prospective cross sectional study conducted in 210 women of age group of 18 to 60 years who attended department of Obstetrics and Gynecology over a period of one year from October 2016 to October 2017. The pap smear and VIA were done in these cases. Results: In our study, majority of positive cases on Pap smear were in the age groups of 41 to 50 years and 51 to 60 years of age (n = 4 in each age group; 4.88 and 8.7% respectively).There were 11 cases with abnormal Pap smear and 9 patients with ASCUS and 41 cases with positive VIA results. When LSIL/HSIL was evaluated, surprisingly a greater proportion was observed in women with 10 to 20 years of marriage. Majority of Pap smear findings were benign with negative for intraepithelial lesion or malignancy (NILM) accounting for 37.6% of patients followed by inflammatory changes (cervicitis) in 37.2% of patients and lastly atrophic smear in 33 patients (15.7%). Conclusion: From the study we conclude that if we compare VIA with Pap smear, VIA is easy-to-perform, results are obtained almost instantly and the patients with abnormal findings can be subjected for biopsy in single setting and low cost make it an ideal test in rural set up.
Authors and Affiliations
Vasantkumar R Rathod, Priyanka Chatterjee
Keywords
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- EP ID EP470450
- DOI 10.26611/1012814
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