COLOPOSCOPY AND OFFICE HYSTEROSCOPY FOR CERVICAL ASSESSMENT FOR EVALUATION OF SUSPICIOUS CERVIX

Abstract

Background: Cervical cancer is the second most common cancer among women in developing countries. Cervical cancer is a deadly disease once it reaches the invasive stages but out of all the female genital tract cancers. It is the only preventable cancer if detected in its early stages, and the disease is almost 100% curable with accurate screening and early detection. Objective: To evaluate efficacy of both office cervicoscopy and colposcopy directed biopsy in evaluation of clinically suspicious cervix. Patients and methods: Prospective cohort study on 200 patients with clinically suspicious cervix attending the outpatient Department of Obstetrics and Gynecology, at the Hospital of Al-Azher Assiut University. Results: Colposcopy had a sensitivity of 60% and a specificity of 91.1%. Office cervicoscopy showed a sensitivity of 75% and a specificity of 89.3%. Conclusions: Office cervicoscopy is more sensitive than stationary colposcopy for detection of cervical lesions in cases with suspicious cervix as an example of high risk group for cervical cancer. Its small caliber allows easy, simple and fast diagnostic out-patient evaluation of the cervix.