English

Abstract

AIMS AND OBJECTIVES: To evaluate the potential of VIA & VILI in the screening of preinvasive and invasive lesions in unhealthy cervix and comparing them with colposcopy guided biopsy thereby determining its usefulness in screening. Also to evaluate the correlation of demographic data like age, socioeconomic status, education, residential area, parity, age at marriage, use of various contraceptive methods in premalignant lesions of cervix. METHODS STUDY was conducted on 200 symptomatic and asymptomatic women with abnormal cervices who attended outdoor department of SSMC associated hospital SGMH. All cases were subjected to Pap smear, VIA, VILI and colposcopy, women with premalignant lesion were subjected to directed biopsy from suspicious areas and sent for histopathological examination (HPE). Results of Pap smear, VIA, VILI and colposcopy are compared to HPE report. OBSERVATIONS: On cytology 27.5% of cases had LSIL & HSIL. All were positive by VIA & VILI, of which 80% had dysplasia on biopsy. On colposcopy, incidence of CIN was 38.5%. all were positive on VIA & VILI, out of which, 76.6% were proved dysplastic on colposcopy guided biopsy. VIA when compared with HPR had sensitivity & specificity of 80% & 67% respectively, while that of VILI was found to be 80% & 87% respectively. CONCLUSION: VIA & VILI are simple, inexpensive, low technology test. Both when combined has high sensitivity as well as specificity. This can be practiced by clinicians and paramedics on wide scale. Another advantage is immediate availability of results, so that treatment can be started during same visit.