Comparison of Visual Inspection with Acetic Acid Directed CervicalBiopsyand Endocervical Curettage to Colposcopy Directed Biopsy and Endocervical Curettage in Cervical Cancer Screening.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
A prospective observational study included 100 women with unhealthy cervices who attended outpatient department in 150 bedded Government Victoria Hospital a maternal hospital affiliated to Andhra medical College, Visakhapatnam, from January 2016 to December 2016. In the present study maximum patients (48%) were in the age group of 30-39 years,67% belonged to the Hindu religion and 78 % belonged to Class IV and Class V socioeconomic status,54% were Multi and Grandmulti Parous.69% got married below the age of 19 years, most common presenting symptom was leucorrhoea (65%)most common cytological observation was inflammatory smear (73%),most common colposcopic finding was aceto white epithelium(70%).most common vascular pattern was punctuation, and most common ECC observation was inflammatory (52%),and most common histological observation was chronic nonspecific cervicitis.14% of subjects positive for malignancy in group A and where as 18% were positive for malignancy in group B. In Group-A (Endocervical curettage +Visual inspection with acetic acid directed biopsy+visual random biopsy) Sensitivity is 69.23%. Specificity is 86.49%. Positive predictive value is 64.2%. Negative predictive value is 88.89%. In Group-B (Endocervical curettage +colposcopic directed biopsy) Sensitivity is 76.92%. Specificity is 78.38%. Positive predictive value is 55.56%. Negative predictive value is 90.62%.
Authors and Affiliations
Dr. R. Subhashini MD, Dr. K. Venkata Ramana MD
Keywords
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- EP ID EP238854
- DOI 10.9790/0853-1611071926
- Views 147
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