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- Title
Cervicography as an adjunctive test to visual inspection with acetic acid in cervical cancer detection screening
- Authors
Bomfim-Hyppólito, S.; Santana Franco, E.; Gomes de Matos Meneses Franco, R.; Matos de Albuquerque, C.; Nunes, G.C.; Bomfim-Hyppólito, S; Franco, E Santana; Franco, R Gomes de Matos Meneses; de Albuquerque, C Matos
- Abstract
<bold>Objective: </bold>Validate Digital Cervicography as adjunctive cervical cancer screening test to VIA and Cytology. <bold>Method: </bold>Women (1292) were submitted to both cytological and VIA tests to obtain a sample of 301 positive VIA cases (23.3%) which have had the Digital Cervicography (DC) taken and evaluated. Just cases considered positive by DC (149/301 cases--49.5%) and/or positive Pap smear tests were referred to colposcopy and biopsy whenever indicated. <bold>Results: </bold>Cervical smear was positive in 5.4%, including LGSIL (4%), HGSIL (1%) and one case of invasive cancer (0.4%), and 1.6% of ASCUS or AGUS). DC identified 81 positive cases (74 LGSIL; 5 HGSIL; 2 cancers). The sensitivity of cytology was 14.8%, and the DC was 100%. Corresponding specificities were 95.4% and 69.1%, respectively. The NPV and PPV for DC were 100% and 54.4%. <bold>Conclusion: </bold>DC increases sensitivity, specificity and positive predictive value of VIA, becoming a valid adjunctive screening test for cervical cancer in low resource settings.
- Subjects
WOMEN'S health; CERVICAL cancer; CYTOLOGY; PAP test
- Publication
International Journal of Gynecology & Obstetrics, 2006, Vol 92, Issue 1, p58
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2005.09.016