Title: Role of VIA and Pap smear of cervix as screening in low resource setting
Authors: Dr Helen Kamei, Dr Ratana Usham, Dr Majachunglu Gangmei, Dr Mayanglambam Ronita Devi, Dr Laishram Madhuri Devi, Dr Tenshubam Nimmi Devi, Dr L Umalakshmi Devi
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.80
Abstract
Aim of the study: to compare Visual inspection with acetic acid and pap smear for cervical cancer screening in low resource setting.
Materials and Method: Random women age ranging from 20-70 years were subjected to per speculum examination followed by Pap smear sampling and Visual inspection with acetic acid.
Results: Of the three hundred women examined, 2 cases were diagnosed as having squamous cell carcinoma of the cervix and one case of adenocarcinoma of the cervix. 15 cases were found to have low grade squamous intraepithelial lesion (LSIL), 4 cases had High grade squamous intraepithelial lesion (HSIL) and 31 cases of Atypical squamous epithelium (ASC-H/US). Two cases had smears inadequate for evaluation. The remaining cases were negative for intraepithelial lesion/malignancy (NILM).
Conclusion: There is no denying the momentous role of pap smear in early detection of Premalignant and malignant cervical lesion and effective and timely intervention. However, the handicap in lower resource setting is another undeniable fact. Visual inspection with acetic acid and even simple examination of cervix may yet have a role as important screening tool in low resource setting.
Keywords: Cervical Cancer screening, Visual Inspection with acetic acid, Pap smear.
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