Role of Visual Inspection after Acetic acid (VIA), after Lugol�s  Iodine (VILI) application and colposcopy in early detection of cervical pre-invasive lesion in unhealthy cervix

Dr. Arpana Jain; Dr Ishrat Zuber

Volume : V, Issue : X, October - 2016

Role of Visual Inspection after Acetic acid (VIA), after Lugol�s Iodine (VILI) application and colposcopy in early detection of cervical pre-invasive lesion in unhealthy cervix

Dr. Arpana Jain, Dr Ishrat Zuber

Abstract :

Objectives- To determine the potential of VIA, VILLI and Colposcopy in cervical cancer screening and to compare their results with colposcopic guided biopsy which is the gold standard Methodology Study was conducted on 200 Symptomatic patients with symptoms eg H/O cervical ulcer,vaginal discharge, postcoital bleeding and other gynaecological problems and asymptomatic patients with bad cervix . Results Colposcopy in camparison with HPR for low grade lesion had sensitivity80%, specificity90%, PPN66.6%,NPV94.7%. For moderate dysplasia sensitivity 85.7%, specificity94.4%, PPV64.2%, NPV98.2.% and for severe dyspasia sensitivity 76.9%, specificity98.3%,PPV76.9%, NPV98.3%.VIA when compared with HPR has higher sensitivity (98.7%) & specificity (52.94%) & corresponding PPV (76%) & NPV (96.43%) VILI when compared with HPR sensitivity (97.4%), specificity (60.78%) ,PPV (78.95%),NPV (93.9%). Conclusion. Combined use of VIA, VILI, colposcopy and colposcopic guided biopsy should be the standard protocol to evaluate all suspicious cervices .Hence �SINGLE VISIT� screen and treat strategy by doing VIA, VILI & colposcopy is cost-effective and more would be the compliance for treatment, which is crucial to ing down the incidence and mortality due to cervical cancer