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- Title
Screening for cervical neoplasia in Bangladesh using visual inspection with acetic acid
- Authors
Nessa, Ashrafun; Hussain, Muhammad Anwar; Rahman, Jebun Nessa; Rashid, Mohammad Harun Ur; Muwonge, Richard; Sankaranarayanan, Rengaswamy
- Abstract
<bold>Objective: </bold>To report the organization and early results of a visual inspection with acetic acid (VIA) screening program for cervical cancer prevention in Bangladesh.<bold>Methods: </bold>Opportunistic VIA screening was offered by trained medical personnel to healthy women attending healthcare facilities in 44 districts. Colposcopy and/or directed biopsies were performed on VIA-positive women at Bangabandhu Sheikh Mujib Medical University (BSMMU) or medical college hospitals. The numbers of screened and VIA-positive women as well as the results of colposcopy, biopsy, and treatment of those with cervical intraepithelial neoplasia (CIN) attending BSMMU are reported.<bold>Results: </bold>From January, 2005, to June, 2008, 104098 women underwent VIA screening. Among them, 5013 (4.8%) women were positive, of whom 4371 (87.2%) attended colposcopy clinics in different hospitals. Of the 2188 who underwent colposcopy at BSMMU, 157 were diagnosed with CIN 2-3 and 123 with invasive cancer. For 2065 women (excluding the cancer cases), results for sensitivity, specificity, and positive predictive value of VIA to detect CIN 2-3 lesions were 93.6%, 58.3%, and 15.6%, respectively. Almost half the women with CIN 2 or 3 lesions had treatment.<bold>Conclusion: </bold>A VIA-based program would facilitate the development of screening, diagnosis, and treatment of cervical neoplasia and improve awareness of cervical cancer prevention in Bangladesh.
- Subjects
BANGLADESH; CERVICAL cancer diagnosis; MEDICAL screening; ACETIC acid; WOMEN'S health; DIAGNOSIS of cancer in female reproductive organs; COLPOSCOPY; TREATMENT of cervical intraepithelial neoplasia; COLD therapy; ELECTROSURGERY; PHYSICAL diagnosis; EARLY detection of cancer; CERVIX uteri tumors; CERVICAL intraepithelial neoplasia; DIAGNOSIS; TUMOR treatment
- Publication
International Journal of Gynecology & Obstetrics, 2010, Vol 111, Issue 2, p115
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2010.06.004