Visualization of the Cervix with Acetic Acid is an Alternative to Colposcopy in Evaluation of Cervical Cancer and Its Precursors
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 0, Vol 8, Issue 2
Abstract
Background: Cervical Cancer is the leading cause of morbidity and mortality among women worldwide. There are over 500,000 cases of Cervical Cancer found worldwide, and more than 280,000 women die of it every year. 85% live in developing countries. Cervical Cancer is the leading cause of years-of-life lost in women in South Central Asia, Latin America and Sub-Saharan Africa, resulting in a greater reduction in a women’s life expectancy even when compared with AID’s, TB, or maternal conditions in Latin America and Europe. (Yang, International Journal of Cancer 2004.) Objective(s): To evaluate visual inspection of cervix with acetic acid (VIA) in picking up pre-invasive and invasive Cancers in abnormal cervix. Method(s): VIA was carried out in 380 symptomatic women as a pre-colposcopy procedure. Hundred patients with positive findings were then subjected to colposcopy. Directed biopsy was taken from those with abnormal appearances on colposcopy. Results: Out of 100 patients with positive findings on VIA, 70 were found to have abnormal findings on colposcopy. Cervical biopsy of these 70 patients revealed 20 cases as having low grade squamous intra-epithelial lesions, nine as high grade squamous intra epithelial lesions, and six as pre-clinical invasive Cancers. Thirty five showed no abnormality in their Cervical biopsy. Conclusion(s): VIA is a simple method to pick up high grade squamous intra-epithelial lesions or early invasive Cancer of the cervix. Colposcopy is complimentary and not essential in identifying the true Cancer precursors. Hence VIA can be practiced by clinicians on wider scale to evaluate the cervix at risk.
Authors and Affiliations
Manisha M. Laddad , Nitin Kshirsagar , Ashutosh Bahulekar
Keywords
Related Articles
- EP ID EP94171
- DOI -
- Views 119
- Downloads 0
Study of perinatal outcome in relation to APH
Introduction: Hemorrhage is a life threatening event right from conception till the end of puerperium and hence obstetrics has been aptly honoured to be bloody business. Amongst many of the causes of antepartum haemorrha...
A Morphometric Study of Pterion in Adult Human Skulls
Pterional access has been the time tested approach in the management of a wide variety of neurosurgical disorders in the anterior, middle and upper part of posterior cranial fossa. Pterion has been described as the ‘H’ s...
Purtscher’s Retinopathy an Eye on Head Injury
We report a case of 45 year old man following a motor vehicle accident noted decreased vision on 5thday following the trauma. Vision in right eye was hand movement close to face and left eye was counting finger at one me...
Association between Radiological and Clinical Outcomes in Osteoarthritis of the Tibiotalar and Midfoot joints after Triple Arthrodesis in Talipes Equinovarus Deformity
Triple arthrodesis(TRA) is a reliable method of correcting severely deformed, painful and paralytic feet, giving stability, reducing symptoms and improving function in complex situations in which very few, other suit...
Laparoscopic repair of right diaphragmatic hernia - A case report
Morgagni hernias are unusual congenital diaphragmatic hernias. Usually the patients are asymptomatic and are diagnosed incidentally. Surgical treatment is recommended once diagnosed, so as to prevent complications. These...