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Indian Journal of Obstetrics and Gynecology

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The Role of Cytology, Colposcopy and Colposcopic Directed Biopsies in the Evaluation of Unhealthy Cervix

Krishnaveni Avula, Assistant Professor, Department of Obstetrics and Gyneacology , Gandhi Medical College, Secunderabad, Telangana 500003, India , Krishnaveni Avula1 , Jyothirmai2 , Arige Sushruth Kumar3 , Arige Subodh Kumar4

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Indian Journal of Obstetrics and Gynecology 6(6):p 588-607, Nov-Dec 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6618.5

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Abstract

  Introduction: In India, unhealthy cervix is a common finding on per speculum examination and it is recommended to do the cervical cytology to detect any epithelial cell abnormality. Aim: To correlate the finding in 100 women with unhealthy cervix by cytology, colposcopy and colposcopically directed biopsies. Materials and Methods: A total of 100 patients with unhealthy cervices on speculum examination were evaluated bycytology, colposcopy and colposcopicdirected biopsies. Results: The colposcopy was more sensitive (96%) than the cytology (44%) where as its specificity was only 76% compared to 90% on cytology. 60% of the patients with abnormal colposcopy had dysplasia and malignancy on HPE. 63% of the patients with positive cytology had dysplasia on HPE. So, the predictive value of both the tests were comparable. The false negative resultof colposcopy was only 1% compared to 18% for cytology, whereas false positive rates were almost the same for both the tests. Conclusions: Colposcopy in an excellent extended gynecological examination tool for the evaluation.

Keywords: Cytology; Cervix Colposcopy

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6618.5

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