ROLE OF COLPOSCOPY USING MODIFIED REID’S INDEX IN SCREENING OF CERVICAL CANCER IN WOMEN WITH ABNORMAL CERVIX ON NAKED EYE EXAMINATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 4
Abstract
[b]OBJECTIVE[/b]: To assess the validity of Colposcopy using Modified Reid's Index as a screening tool in cervical cancer in women with abnormal cervix on naked eye examination. [b]METHODS:[/b] This observational study was carried out in Government medical college, Aurangabad from June 2011 to May 2013 . Total 392 women with abnormal cervix on naked eye examination of underwent colposcopy and diagnosis was made on the basis of Modified Reid’s Index. Colposcope directed biopsies were obtained from the abnormal areas. In women with normal colposcopic findings four quadrant biopsies from squamo-columnar junction were taken .Eight women were excluded from analysis owing to unsatisfactory colposcopy. Results of colposcopy were validated by calculating sensitivity, specificity, positive predictive value, negative predictive value in diagnosing histopathologically confirmed lesions which served as gold standard. [b]RESULTS: [/b]Overall sensitivity of colposcopy in all grades of lesions is around 90% or more, touching 100% in high order of histological lesions.Overall specificity is also high.It does have an excellent negative predictive value but comparatively lower positive predictive value especially in high order lesions with fair degree of accuracy in all grades of lesions in the hands of an experienced operator.[b] CONCLUSION: [/b]Colposcopy using Modified Reid’s Index with high sensitivity and specificity is a good screening tool for cervical cancer
Authors and Affiliations
Deshpande Sonali, Yelikar Kanan, Andurkar Smita, Dahitankar Suvarna
Keywords
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