English

Abstract

AIMS & OBJECTIVES: The sensitivity and specificity of pap smear and colposcopic scrape cytology were compared to colposcopic punch biopsy in present study for screening cervical abnormalities. Method: 60 multiparous women of 25-55 years age group were subjected to conventional pap smear, colposcopic directed scrape cytology and colposcopic punch biopsy after VIA and both the cytology and histopathology findings were noted, sensitivity and specificity of pap cytology colposcopic cytology were compared to biopsy. Results: Sensitivity & specificity of colposcopic cytology was much higher than pap and was near to punch biopsy, sensitivity and specificity of pap is 41% & 66% respectively, sensitivity and specificity of colposcopic cytology is 66%, 83% respectively hence it was concluded that colposcopic cytology can be more effective screening than pap in centres with colposcope and colposcopist.