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Review Papers | Medical Science | India | Volume 8 Issue 7, July 2019
Diagnostic Efficacy of Visual Inspection with Acetic Acid (VIA) in Cervical Cancer Screening in Women Aged 20-60 Years
Amrita Chaurasia [4] | Aditi Srivastava [2] | Shalini Singh [5] | Nidhi Sachan [2]
Abstract: Aim: To assess the efficacy of VIA as cervical cancer screening in women aged 20-60 years by comparing it with cytology, colposcopy and using cervical biopsy histopathology as gold standard. Methods: The study population consisted of 500 women. Freshly prepared 5 % acetic acid was applied to the cervix and inspected after one minute. Women were subjected to cytology, colposcopy and histopathology as well. Using histopathology as the reference standard, the sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of VIA, cytology and colposcopy was calculated. Statistical significance was calculated by P value 0.05. Results: VIA had higher sensitivity & negative predictive value of 78.04 % & 96.32 % respectively, than LBC and colposcopy. LBC & colposcopy had higher specificity and positive predictive value than that of VIA. VIA showed the highest percentage of false positives (54.3 %) while the lowest percentage of false negatives (21.9 %). Conclusions: VIA can be used as an initial screening test for cervical cancer in low resource countries like India. Cytology had high sensitivity and comparatively higher specificity and therefore can be used for screening in conditions when there are no financial constraints.
Keywords: Cervical cancer screening, visual inspection with acetic acid, cytology, colposcopy
Edition: Volume 8 Issue 7, July 2019,
Pages: 1290 - 1294
Similar Articles with Keyword 'cytology'
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Research Paper, Medical Science, India, Volume 11 Issue 3, March 2022
Pages: 1229 - 1233A Prospective Study to Evaluate the Changes in Vaginal Cytology and its Correlation with Bishop's Scoring to Predict the Onset of Labor
Choudhary V [2] | Sah S [2] | Arya SB [2] | Agarwal T | Agarwal N [3] | Baghel J
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Research Paper, Medical Science, India, Volume 11 Issue 1, January 2022
Pages: 1121 - 1125Spectrum of Cervical Lesion in Papanicolaou Smears Examination in a Tertiary Care Hospital
Dr. Rakesh Shedge | Dr. Suhas Sonwane | Kalappa Dodake | Dr. Vikas Kavishwar | Dr. Mayura Phulpagar | Dr. Sweety Shinde | Dr. Kusum Jashnani