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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 8, Issue 2, August 2013 pp 103-105
Research Article
Visualization of the Cervix with Acetic Acid is an Alternative to Colposcopy in Evaluation of Cervical Cancer and Its Precursors
Manisha M. Laddad1, Nitin Kshirsagar2, Ashutosh Bahulekar3
{1Assistant Professor, 2Professor, 3Senior Resident} Department of OBGY, KIMSDU, Karad – 415110, Maharashtra, INDIA.
Academic Editor : Dr. Aher K.R.
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.
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