A comparative Study to Assess the Accuracy of Colposcopic Examination and Pap Smear Cytology As Screening Test In Unhealthy Cervix
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
It was a prospective comparative study conducted in gynecology OPD of Burdwan Medical College and Hospital on 100 women attending OPD with complains of white discharge, irregular menstruation, post coital bleeding or post-menopausal bleeding. Pap smear, colposcopy with application of 3% acetic acid and on spot cervical biopsy in indicated cases was done. 71% of women were in the age group 20-40 years. 54% had parity of 3 to 4. 69% of women presented with complain of white discharge. 88% had normal Pap smear, 1% had LSIL, 2% had HSIL and 4% had ASCUS on Pap smear. 40% of women had aceto- white reaction on colposcopy, 6% had low grade lesions and 54% had normal colposcopy findings. Final histopathology correlated with a diagnosis of CIN 2/3 in 6%, CIN 1 in 1% and squamous cell carcinoma in 4%, while 89% had chronic nonspecific cervicitis. 72.72% of all those with a positive histopathology presented with complain of white discharge and positivity increased as the parity increased. Overall sensitivity of Pap smear was72.72% which was much lower as compared to colposcopy (100%). But the specificity of Pap smear was 95.5% and of colposcopy was 67.42%. Hence colposcopy is a superior test for the screening of cervical cancer as it is more sensitive than Pap smear in detecting precancerous lesions.
Authors and Affiliations
Dr. Swarupa, Dr. Bibek Mohan Rakshit, Prof. Pradip Banerjee, Dr. Kalyansree Chaudhury
Keywords
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- EP ID EP467200
- DOI 10.9790/0853-1802070106.
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