DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191201

Prospective study of colposcopic screening of unhealthy cervix

Pushpa Kannoujiya, Arpita Shrivastava, Tariq Ahmed Mala

Abstract


Background: The study was conducted to screen women who have abnormal vaginal discharge with Pap smear to do histopathological analysis of colposcopically directed biopsies.

Methods: A prospective analytical study carried out in the department of obstetrics and gynaecology. The patients were randomly selected who fulfilled the selection criteria and was carried out to study the correlation of Pap smear and colposcopy in women with unhealthy cervix.   

Results: Among all patients 13% were between 20-29 years, 38% were between 30- 39%, 31% belonging to 40-49 years group and 18% was between 50-59%.  Among 100 Women studied, 33% were illiterates, 55% had primary/high school education and 12% had Higher education Majority of the patients (68.7%) of CIN occurred in the age group of 30-49years, 41.7% with CIN were paragrvida 2, 43.8% with CIN were paragravida 3 and 18.6% were greater than paragravida 4 showing high incidence of CIN in multiparity.The incidence of CIN was found to be high among the lower income group 87.5%.The major presenting complains in the study patients were white discharge per vagina.

Conclusions: Colposcopy was found to be useful in understanding the morphology of the cervical lesion, both of the neoplastic and nonneoplastic ones and was very helpful in planning their management. Cytology is an accepted method for screening for cervical cancer and the value of colposcopy has been recognized. Hence it may be better to utilize cervical cytology smear with colposcopy should be offered as a diagnostic method in all patients with unhealthy cervix.


Keywords


Colposcopy, Cytology, Premalignant lesion

Full Text:

PDF

References


Arora R, Vijaya K, Habeebullah S, Asha O. Colposcopic evaluation of unhealthy cervix. J Obstet Gynecol Ind. 2000;50:102-3.

P. DiSaia, W. Creasman, eds. Clinical Gynecologic Oncology 7th ed.2007.

Gajalakshmi CK, Krishnamurthi S, Ananth R, Shanta V. Cervical cancer screening in Tamilnadu, India: a feasibility study of training the village health nurse. Cancer causes control. 1996;7(5):520-4.

Kushtagi P, Fernandes P. Significance of Persistent Inflammatory Cervical Smears in Sexually Active Women of Reproductive Age. J Obstet Gynaecol India. 2002;52(1):124-6.

Vaidya A. Comparison of Pap test among high and non-high risk female. Kathmandu University Med J. 2003;1(1):8-13.

Shalini R, Amita S, Neera MA. How alarming is post-coital bleeding–a cytologic, colposcopic and histopathologic evaluation. Gynecol Obstet Investigat. 1998;45(3):205-8.

Adadevoh SW, Forkouh BK. Cervical cancer screening. Int J Gynaecol Obstet.1993; 43 (1): 63-4.

Bhatla N, Mukhopadhyay A, Kriplani A, Pandey RM, Gravitt PE, Shah KV, et al. Evaluation of adjunctive tests for cervical cancer screening in low resource settings. Indian journal of cancer. 2007 Apr 1;44(2):51.

Pimple SA, Amin G, Goswami S, Shastri SS. Evaluation of colposcopy vs cytology as secondary test to triage women found positive on visual inspection test. Indian J Canc. 2010;47(3):308-13.

Londhe M, George SS, Seshadri I. Detection of CIN by VIA. Indian J Canc. 1997; 34(2):L88-91.

Sukhpreet LS, Nayana AD, Murari SN. A comparison of colposcopy and papanicolaou smear: sensitivity, specificity and predictive value. Bombay Hospital J Origin Res Articles. 2009.

Olaniyan OB. Validity of colposcopy in the diagnosis of early cervical neoplasia a review-African J Reprod Health. 2002,6:59- 69.

Massad LS, Collins YC. Strength of correlations between colposcopic impression and biopsy histology. Gynecol Oncol. 2003;89(3):424-8.

Basu PS. Shankaranarayanan R, Mandal R, Roy C, Das P. Visual inspection of cervix with acetic acid and cytology in the early detection of cervical neoplasia in Kolkatta-India. Int J canc. 2005:626-32.

Pete I, Toth V, Bösze P. The value of colposcopy in screening cervical carcinoma. European J Gynaecol Oncol. 1998;19(2):120-2.

Kierkegaard O, Byrjalsen C, Frandsen KH, Hansen KC, Frydenberg M. Diagnostic accuracy of cytology and colposcopy in cervical squamous intraepithelial lesions. Acta Obstet Gynecol Scandinavica. 1994;73(8):648-51.