Visual Inspection with Acetic Acid in Detection of Cervical Precancerous Lesions

Abstract

Cervical cancer is a common cause of death worldwide in women. Cytology-based screening programs have reduced cervical cancer in developed countries. Cervical cancer is a preventable disease due to the presence of long-standing preinvasive lesions. The aim of the work was to assess the accuracy of VIA in detection of cervical preinvasive lesions in comparison with Papanicolaou smear. The study included 1004 women recruited from gynecology outpatient clinic at El Shatby Maternity University Hospital, VIA performed followed by Pap smear, and colposcopic-guided biopsy performed to women with positive VIA and Pap test Of 1004 patients; 1000 only patients completed the work. Abnormal findings present only in 6% of women. VIA is a good cheap and reliable test in detection of cervical precancerous lesions.