ROLE OF COLPOSCOPY USING MODIFIED REID’S INDEX IN SCREENING OF CERVICAL CANCER IN WOMEN WITH ABNORMAL CERVIX ON NAKED EYE EXAMINATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 4
Abstract
[b]OBJECTIVE[/b]: To assess the validity of Colposcopy using Modified Reid's Index as a screening tool in cervical cancer in women with abnormal cervix on naked eye examination. [b]METHODS:[/b] This observational study was carried out in Government medical college, Aurangabad from June 2011 to May 2013 . Total 392 women with abnormal cervix on naked eye examination of underwent colposcopy and diagnosis was made on the basis of Modified Reid’s Index. Colposcope directed biopsies were obtained from the abnormal areas. In women with normal colposcopic findings four quadrant biopsies from squamo-columnar junction were taken .Eight women were excluded from analysis owing to unsatisfactory colposcopy. Results of colposcopy were validated by calculating sensitivity, specificity, positive predictive value, negative predictive value in diagnosing histopathologically confirmed lesions which served as gold standard. [b]RESULTS: [/b]Overall sensitivity of colposcopy in all grades of lesions is around 90% or more, touching 100% in high order of histological lesions.Overall specificity is also high.It does have an excellent negative predictive value but comparatively lower positive predictive value especially in high order lesions with fair degree of accuracy in all grades of lesions in the hands of an experienced operator.[b] CONCLUSION: [/b]Colposcopy using Modified Reid’s Index with high sensitivity and specificity is a good screening tool for cervical cancer
Authors and Affiliations
Deshpande Sonali, Yelikar Kanan, Andurkar Smita, Dahitankar Suvarna
Keywords
Related Articles
- EP ID EP127777
- DOI 10.14260/jemds/2014/1922
- Views 104
- Downloads 0
AN OUTPATIENT SURVEY OF WHEEZING PAEDIATRIC PATIENTS IN A TERTIARY CARE HOSPITAL
BACKGROUND Wheezing is a common condition in paediatric practice. It can be defined as a musical sound, high-pitched and continuous, emitting from the chest during breath exhalation. Although, almost 50% of children expe...
BACTERIAL PATTERN OF APPENDIX IN ACUTE AND CHRONIC APPENDICITIS WITH ITS CLINICAL CORRELATION
BACKGROUND Acute appendicitis is a common, sometimes confusing and often treacherous cause of acute abdomen at all ages. The only way to reduce morbidity and to prevent mortality is to perform appendicectomy bef...
EFFICACY OF INTRATHECAL NEOSTIGMINE, CLONIDINE OR THEIR COMBINATION COADMINISTERED WITH SPINAL BUPIVACAINE IN PATIENTS UNDERGOING LOWER LIMB ORTHOPAEDIC SURGERY
BACKGROUND The spinal administration of combination of α2 agonist, Clonidine and cholinesterase inhibitor Neostigmine along with bupivacaine is under clinical investigation for potential use in the perioperative period....
HIRSCHSPRUNG’S DISEASE- 12 YEARS STUDY
BACKGROUND Hirschsprung’s disease is the commonest cause of functional intestinal obstruction in children. Majority of children with Hirschsprung’s disease will have delayed passage of meconium in newborn period with abd...
STUDY OF HEMATOLOGICAL PARAMETERS AMONG NEONATES ADMITTED WITH NEONATAL JAUNDICE
[b] INTRODUCTION:[/b] Jaundice is most common problem faced by neonates in the first week of life. Although physiological jaundice is more frequent as compared to pathological jaundice it is very important to di...