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Indian Journal of Obstetrics and Gynecology

Volume  5, Issue 3, Jul-Sep 2017, Pages 335-341
 

Original Article

A Basic Screening Approach for Detection of Premalignant Lesions of Cervix in Rural India: A Prospective Observational Study

Ratnani Rekha*, Ghormode Poonam**, Pungle Anju***

*Professor, Dept of Obstetrics & Gynaecology, Chandulal Chandrakar Memorial Medical College Kachandur, Durg, Chhattisgarh 490024, India. & Senior Consultant at Apollo BSR Hospital , Bhilai, Chhattisgarh 490020. **Assistant Professor *** Junior Resident, Dept of Obstetrics & Gynaecology, Chandulal Chandrakar Memorial Medical College Kachandur, Durg, Chhattisgarh 490024, India.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.2

Abstract

Background: Cervical cancer is the second most common cancer of women in age group 15-44 years. Worldwide. Approximate 3/4th of patients are diagnosed in advanced stages leading to poor long term survival and cure rates.3 the effectiveness of the pap smear, VIA & VIA guided biopsy as screening methods are easily available in a rural set up of India. Aim: To screen all the women between the age of 18- 65 years attending Gynaecology OPD irrespective of their complaints, by Pap Smear and Visual inspection after applying acetic acid (VIA) followed by VIA guided cervical biopsy and to study incidence of positive findings & effectiveness of pap smear, VIA test and VIA guided cervical biopsy to screen cervical cancer and finally to study the incidence of premalignant lesions of the cervix in a rural setup. Material and Methods: In 2146 total women (18- 65years) attending Gynecology OPD between February 2016 to July 2016 (6 months) & 828 consecutive women were examined after fulfilling the selection criteria and proper consent. Results: Out of total 828 women 3.38% women were positive for abnormal cytology, 35.26% women were VIA test positive. Out of total 828 VIA test done, 19.08% underwent VIA guided cervical biopsy & 5.43% women had positive HPE report. Out of 28 abnormal cytology 19 were ASCUS positive, 06 were LSIL & 03 were HSIL. Out of 45 abnormal biopsies 28 were CIN I (3.38 %%), 10 were CIN II (1.21%) & 07 were CIN III (0.84%). Incidence of premalignant cervical lesions is 8.81%

Keywords: Premalignant Cervical Lesions; Cytology; Biopsies. 


Corresponding Author : Ratnani Rekha, A 2/ 392, Surya Vihar Colony, Junwani, Bhilai, Chhattisgarh 490020, India.