Role of Visual Inspection of Cervix with Acetic Acid (VIA) in Detecting Precancerous Lesions of Cervix
Journal Title: Journal of Enam Meical College - Year 2014, Vol 4, Issue 1
Abstract
Background: Carcinoma of cervix is the most common malignancy in female and a major public health problem worldwide. It is the leading cause of death from cancer among women in low resource settings. In Bangladesh, mortality rate is high as most of the cases with cervical cancer are diagnosed in advanced stage. World Health Organization considers cervical cancer as a preventable disease as it can be identified in preinvasive stage. Considerable efforts have been given in detection and treatment of the condition all over the world. A number of cervical cancer screening tests are available. Among them, visual inspection of cervix with acetic acid is rational and can be competently performed by physicians with proper training. Objective: To find out the feasibility of the visual inspection of cervix with acetic acid for the detection of the precancerous lesions of the cervix in our country. Materials and Methods: This cross sectional, analytical study was carried out among the patients attending the outpatient department of Bangabandhu Sheikh Mujib Medical University (BSMMU) who were VIA positive and sent for colposcopy in the colposcopy clinic in the department of Obstetrics and Gynecology in BSMMU from June to December 2004. Two hundred samples were considered for this study. Results: Out of 200 cases, colposcopically 85% had CIN and invasive lesions, 4% had inflammatory lesions while 11% had normal findings. Colposcopy directed punch biopsy revealed positive lesions in 81%, 4% had inflammatory lesions while 15% had normal findings. Conclusion: The study concluded that VIA and colposcopy are the important methods in the evaluation of cervical premalignancy. VIA may be an important tool for screening of cervical cancer in low resource settings as it is simple, easy to perform and cost-effective. After screening, VIA positive cases must be referred for colposcopic evaluation. We can screen cervical cancer by VIA all over the country and thus reduce morbidity and mortality rate.
Authors and Affiliations
Kamrun Nessa, Khadija Nazneen, Najmin Munni, Runa Laila, Farhana Islam, Sheikh Rabeya Akhter
Keywords
Related Articles
- EP ID EP36187
- DOI https://doi.org/10.3329/jemc.v4i1.18068
- Views 321
- Downloads 0
Urinary Iodine Excretion of Lactating Mothers Predicts the Iodine Content of Their Breast Milk
Background: Iodine is essential for normal growth, mental development and survival of infants. Bangladesh is an iodine deficient region. Breast milk is the only source of iodine for exclusively breast-fed infants. Routin...
Association of Age with Thyroid Hormone Status and Ischaemic Heart Disease (IHD)
Background: Aging is associated with increased prevalence of thyroid function abnormalities including hypothyroidism. A meta-analysis showed an increased prevalence and incidence of cardiovascular mortality only in a r...
Comparison of ABO and Rh-D Blood Group Systems between the Garo Tribal People of Mymensingh and General People of Dhaka City
Background: The distribution pattern of ABO and Rh-D blood group in our country including the tribal people is not fully established as elaborated and large scale studies have not been carried out on it. Therefore this s...
Lupus Vulgaris Causing Nasal Destruction: Rare Presentation in Current Time
A 42-years old lady reported with slowly progressive reddish lesions over the nose, followed by atrophy and ulceration for about 6 years. Clinical examination revealed atrophied, ulcerated, erythematous lesions over cent...
Ductography: The Diagnostic Procedure of Choice in Patients with Abnormal Nipple Discharge
A 38-year-old lady presented to the Ibn Sina Breast Care Centre, Dhaka with the complaints of bloody discharge through the left breast nipple. On examination, there was spontaneous bloody discharge from left breast n...