WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Saba Samir Salman, Hiba Dhari Al Ameri and Asan Ali Al Niyazee

ABSTRACT

Background: Cervical cancer is the fourth most common form of cancer in women globally, with an incidence rate of 2.3 per 100,000 women (all age groups). The data from the population-based national cancer registry center indicate that the Iraq incidence of cervical cancer is 2.3 per 100,000 women (for all age groups). Goals: This investigation intended to contrast the visual inspection of the cervix via acetic acid (VIA test) with the Pap test for the purpose of cervical cancer detection. Methods: A cross sectional study of 100 married or sexual active women in the reproductive age bracket (25-59) who they visit at Al elweiya's maternity hospital in Baghdad, Iraq. Data was gathered from the women's health center in the hospital between the years (1/3/2022 to 1/9/2022). A Pap test followed by a VIA test was employed to screen for cervical cancer. Those with positive results for any screening procedure were subjected to a biopsy of the cervix. Results: The investigation's sample of 100 participants between the ages of 25 and 59. VIA was positive in 6/100 (6%) patients and Pap smear was anomalous in 7/100 (7%). There were 4 ASC-US, 2 LSIL, and 1 ASC-H. A biopsy of the cervix was performed for a positive result on the VIA or a positive result on the Pap test. Histological evidence of cervical intrepithelial neoplasia (CIN2+) is considered the highest standard. The sensitivity, specificity, positive predictive value, and negative predictive value of VIA were 100%, 60%, 33%, and 100%, and of Pap were 50%, 40%, 14 and 80 percent respectively. Conclusion: The VIA test is more sensitive, specific and negative than the Pap test, the VIA test has significant value in the detection of cervical cancer, this procedure is spread across multiple countries in the world, and it can help in the early detection of cases before they become cancer. We suggest a hybrid of different detection methods to enhance the effectiveness of detection in our community.