Evaluation of cervical erosion in symptomatic women
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20201801Keywords:
Cervical erosion, Colposcopy, Histopathology, Pap smearAbstract
Background: The objective of this study was evaluation of symptomatic women with cervical erosion.
Methods: Prospective clinical study done in the department of obstetrics and gynecology, VIMS, Ballari for one-year period from June 2016 to May 2017. All patients with symptoms of white discharge, post coital bleeding and menstrual irregularities were examined by per speculum examination and all those who had cervical erosion (112 Patients) were included in the study. Pap smear and colposcopy were done in all subjects. Colposcopic guided biopsy was done in women with abnormal findings on colposcopy. Histological prediction of colposcopic findings was done according to the Reid’s modified colposcopic index. The result of the biopsy was correlated with the predicted histology of the Reid’s modified colposcopic index and statistical analysis done to calculate diagnostic efficacy of colposcopy in the evaluation of symptomatic women with cervical erosion.
Results: Out of the 112 patients, 5.35% (6/112) had abnormal Pap smear. All patients underwent colposcopy and colposcopic guided biopsy, 11.6% (13/112) had abnormal colposcopic findings. Histopathology confirmed CIN I in 6.25% (7/112) and CIN II in 1.78% (2/112) patients. The sensitivity, specificity, PPV, NPV and accuracy of PAP smear was found to be 22.22%, 96.11%, 33.33%, 93.39% and 90.17%. The above values for colposcopy were found to be 88.89%, 95.15%, 61.54%, 98.99% and 94.64%.
Conclusions: Colposcopy should be done in all symptomatic patients with cervical erosion as it is a good diagnostic tool for premalignant conditions of the cervix and correlates well with histopathological findings.
Metrics
References
Matiluko A. Cervical ectropion Part 1: Appraisal of a common clinical finding. Trends in Urology, Gynaecol Sexual Health. 2009;14(3):10-2.
Sellors JW, Sankaranarayanan R. Colposcopy and treatment on cervical intraepithelial neoplasia: A Beginners’ Manual, IARC Press, Lyon, France. 2003:8-12.
Hua X, Zeng T, Zhang R. Using platelet-rich plasma for the treatment of symptomatic cervical ectopy. Int J Gynaecol Obstet. 2012;119:26-9.
Patil P, Sharma P. Colposcopic evaluation of cervical erosion in symptomatic women. Int J Reprod Contracept Obstet Gynecol. 2017;6:2207-11.
Nayani ZS, Hendre PC. Comparison and correlation of pap smear with colposcopy and histopathology in evaluation of cervix. J Evol Med Dent Sci. 2015;4(53):9236-47.
Chaudhary RD, Inamdar SA, Hariharan C. Correlation of diagnostic efficacy of unhealthy cervix by cytology, colposcopy and histopathology in women of rural areas. Int J Reprod Contracept Obstet Gynecol. 2014;3:213-8.
Sankaranarayanan R, Budukh AM, Rajkumar R. Effective screening programmes for cervical cancer in low-and middle-income developing countries. Bulletin World Health Organization. 2001;79:954-62.
Aswathy S, Quereshi A, Kurian B, Leelamoni K. Cervical cancer screening: current knowledge and practice among women in a rural population of Kerala, India. Indian J Med Res. 2012;136:205-10.
Vasudevan J, Mishra AK, Singh Z. An update on B. G. Prasad’s socioeconomic scale. Int J Res Med Sci. 2016;4:4183-6.
Deshpande S, Yelikar K, Andurkar S, Dahitankar S. Role of colposcopy using modified reid’s index in screening of cervical cancer in women with abnormal cervix on naked eye examination. J Evol Med Dent Sci. 2014;3(4):902-6.
Guptha N, Chandra M. Colposcopy made easy-A Hands on manual for Practicing Doctors and Postgraduates, 1st edition, Jayapee Brothers Medical Publishers ltd,; 2009:223.
Gupta V, Tandon A, Nanda A, Sharma A, Bansal N. Colposcopic evaluation of cervical lesions: a prospective study. Int J Clin Trials. 2014;1:110-3.
Kumari M, Murari K, Kumari M. Role of colposcopy in management of cervical erosion in rural population of Eastern Bihar. Inter J Cur Res. 2016;8(11):41268-70.
Bangal VB, Patil NA, Gavhane SP, Shinde KK, Colposcopy guided management of cervical erosions in rural population. Sch J App Med Sci. 2014;2(1C):261-5.
Jyoti R, Gupta P, Rao R, Sood PL, Parasher N. Correlation between colposcopy, cytology, and histopathology in high risk patients for cervical cancer in perimenopausal women in Himachal Pradesh, India. J South Asian Federat Menop Soc. 2013;1(1):21-3.
Ramesh G, Sudha R, Jayashree AK, Padmini J. Colposcopic evaluation of the unhealthy cervix. J Clin Diagnost Res. 2012;6(6):1026-8.