Comparative Assessment of Visual  Inspection with Acetic Acid and PAP  Smear Method For Cervical Cancer  Screening in High Risk Cases

Dr. Meenakshi kashyap; Dr.Goyal preeti; Dr. Monark vyas; Dr. Parimal patel; Dr. Mital premlata; Dr. Shekhawat usha

Volume : II, Issue : XI, November - 2013

Comparative Assessment of Visual Inspection with Acetic Acid and PAP Smear Method For Cervical Cancer Screening in High Risk Cases

Dr. Meenakshi Kashyap, Dr. Goyal Preeti, Dr. Monark Vyas, Dr. Parimal Patel, Dr. Mital Premlata, Dr. Shekhawat Usha

Abstract :

Objective: To compare the screening tool visual inspection using acetic acid (VIA) and Pap smear among high risk cases considering biopsy as gold standard.Methods:A hospital based prospective study was done in first 200 women above 25 year among high risk group from year 2010 to 2011 using VIA and Pap smear as screening tool for early detection of cervical cancer. The result was compared with cervical biopsy. Results:Out of 200 cases, VIA and Pap was carried out on 182 patients as 18 had bleeding on touching cervix. On VIA 127 were positive while Pap was positive in 122 patients. Histological diagnosis of CIN/ cancer was made in 126 out of 182 patients. Sensitivity of VIA was 88.89% and of Pap was 97.50%. Corresponding specificities were 73.21% and 85.71%. PPV of VIA was 88.18 % versus 93.60% for Pap which was not statistically significant. Conclusion:The study concluded that as VIA detection rate is comparable to Pap smear so it is feasible alternative in low resource setting