Title: Significance of Diagnostic Colposcopic Evaluation in Cases with Abnormal pap smear
Authors: Dr Urvashi, Dr Mukesh Chandra, Dr Rajmani
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.22
Abstract
Introduction: Cervical cancer is the most common form of cancer in women in developing countries and the second most common form of the cancer in women in the world as a whole. India accounts for 18 % of them. As primary prevention is the ultimate objective in the control of malignancy, hence specific screening and early detection have to be primary measures. The simultaneous use of pap smear and colposcopic screening has been shown to increase cervical cancer detection.
Aims and Objectives: To compare and correlate the abnormal areas and pap smear with colposcopy. and Colposcopic directed biopsies
Material and Methods: Present study was conducted on 100 married women more than 27 years of age attending the outpatient department of obstetrics and gynaecology of S. N. Medical college Agra and S M S Medical college Jaipur.
All these clients were screened by pap smear and coposcopy. Colposcopic directed biopsy was done in cases with abnormal colposcopic findings, naked eye appearance of unhealthy cervix, or symptomatic persistent inflammatory smear. Pap smear was taken in all cases.
Observations: In our study, sensitivity of pap smear was low but specificity was high. Correlation between pap smear and histology was 82.2%. Specificity of colposcopy was not as good as sensitivity. Correlation between colposcopy and histology was 84.44%. Accuracy of pap smear and colposcopy individually was approximately same (82.22% and 84.44% respectively). Accuracy was increased when both tests were used simultaneously (95.56%).
Conclusion: Colposcopic examination is an accurate method of evaluation of patients with abnormal pap smear and both are supplement to each other in the diagnosis of cervical neoplasia. Both tests will become highly accurate when combined with colposcopic directed biopsy.
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