Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The most significant method for untimely diagnosis of cancer cervix is cytology screening, the development of low‐cost technology e.g., visual inspection of the cervix after application of acetic acid is an alternative tool for diagnosis of cervical cancer. To compare the diagnostic accuracy of visual inspection with acetic acid (VIA) and histopathological evaluation in diagnosing cervical cancer in women. This was a prospective comparative study conducted on 265 women who fulfill selection criteria. The participant was subjected to detailed history, physical examination, VIA and Histopathological examination (HPE). The sensitivity and specificity of each test are determined and compared. A total of 9.1% of patients were detected positive on visual inspection of acetic acid (VIA) testing assessed by on site physician and 5.3% by off‐site physician. 6.8% of study participants were detected positive for cervical cancer lesion in HPE testing, among that 47.62% were CIN II. Sensitivity of onsite physician was 100% for detection of cervical changes and 97.57% of specificity which is good. Onsite physicians test results had 75% PPV, 100% NPP and 97.74% accuracy. Sensitivity of onsite physician was 77.78% for detection of cervical changes and 100% of specificity. Offsite physicians test results had 100% PPV, 98.4% NPP and 98.49% accuracy. This study concluded that visual inspection with acetic acid (VIA) is more sensitive and accurate than Pap smear in diagnosing cervical cancer, but less sensitive than HPE.
How to cite this article:
Jagrati Gupta, Vrunda Joshi, Anita Meena, Nisha Yadav and Aditi Mittal. Comparison of Diagnostic Efficiency of Visual Inspection of Cervix with Acetic Acid and Histopathological Evaluation.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.604.608
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.604.608