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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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Abstract
VISUAL INSPECTION OF CERVIX WITH LUGOL’S IODINE AND ACETIC ACID FOR EARLY DETECTION OF PREMALIGNANT AND MALIGNANT LESIONS OF CERVIX WITH COLPOSCOPY AND HPE CORRELATION
Dr. S. Lujim Mala and *Dr. M. Keerthana
ABSTRACT
Background: Globally, carcinoma cervix is the fourth most common malignancy and second most common after breast carcinoma in women. In India, new cases of carcinoma cervix are 96,922 every year and the deaths due to cervical cancer is 60,078/year, according to 2018 statistics. Previously there was routine screening with cytology namely pap smear for all women who was and is sexually active. But due to the need for expertise in cytopathological studies, there came another alternative for screening. Now visual inspection with acetic acid and lugol's iodine is mostly recommended in low resource settings like India. Based on this our objective is to find out the incidence of cervical lesions in asymptomatic lady with visual inspection methods. Also, to compare the efficacy of Visual inspection methods with colposcopy and guided biopsy and to analyze the readiness in using Visual inspection methods as effective screening procedure in low resource setting Methods: This prospective study conducted in a tertiary care hospital for 1 year. This study comprises study subject of 620 women who were attending general and gynecology OPD. All 620 patients were subjected to visual inspection and magnification (VIA/VILI), colposcopy and biopsy was done in the positive patients. Results: Of 620 cases studied, colposcopy was positive in 80. Among 80 cases who were colposcopy positive, VIA/VILI was positive in 59 cases. Colposcopy guided biopsy was positive in 80 cases. The sensitivity of VIA/VILI in detecting preinvasive lesions was 91.88% and specificity was 100% when compared with colposcopy which has sensitivity 98.9% and specificity 100%. Conclusions: Hence the screening method of visual inspection methods came into action. This was very easy to perform and very useful for mass screening. The results are available readily so that the patients need not visit the health center twice. Thus, for low resource setting, VIA VILI is a great impact on the mass screening.
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