PAP’s Smear vs. visual Inspection by Lugol’s iodine Method for Early detection of cervical cancer for community based approach
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2015, Vol 1, Issue 2
Abstract
ABSTRACT: Background: Cervical cancer, mainly due to persistence Human Papilloma virus (HPV) infection, is second most common cancer among Indian women. Need of screening programs is very essential for reducing the incidence and mortality of cervical cancer significantly. For spreading the awareness among women about the cervical cancer, community based approach is a very important way. Visual inspection with Lugol's iodine (VILI) and Pap’s smear are two main methods used for screening of cervical cancer. The objective of the present study is to comparison of VILI (Visual inspection by Lugol’s Iodine) with cytology by Pap smear for early detection of carcinoma of cervix and correlation of these results with the reference of standards (biopsy). Material & Methods: Present study was conducted among 275 women of the age 20 to 65 year, during the period of May 2012 to May 2013, treated under Gynecology service unit of Regional Cancer Centre, IGIMS Patna. Data was analyzed by using Epi Info 7 for Windows to comparison the results of test. Results: Sensitivity, Specificity, Positive predictive value and Negative predictive value of Pap test was 63.15%, 97.62%, 80%, 97.30% respectively, and that of VILI test was 100%, 89.91% 51.92%, 100% respectively. Conclusion VILI and Pap test can be used effectively for detection of precancerous lesion of cervix at hospital set up as well as community level, but PAPS can be replaced by VILI in our country and any other developing countries, where it is difficult to enroll majority of population in cervical cancer screening program, as VILI can be used as “see and treat policy” as it is easily appreciable and can be done by paramedical staff too.
Authors and Affiliations
Sangeeta Pankaj, Simi Kumari, Anita Kumari, Jaya Kumari, Anjili Kumari, Syed Nazaneen, Rajesh Kumar Singh, Seema Devi, Richa Madhawi, Dinesh Kumar Sinha, Setu Sinha, Shishir Kumar
Keywords
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