Colposcopy Findings of VIA Positive Cases in Detection of Precancerous Lesion of Cervix

Résumé

Introduction: Cervical cancer is still the second-most frequent malignancy in women overall. According to an epidemiological study conducted by Bangladesh's Cancer Research Institute, 26% of all females with cancer in this country have cervicovaginal carcinoma. The World Health Organization views cervical cancer as a condition that can be avoided. It can be identified in its precancerous phage, which is why. Colposcopy is a diagnostic procedure for determining the presence of preclinical invasive carcinoma and cervical intraepithelial neoplasia (CIN). Methods and materials: A hospital-based observational study was carried out in the Department of Obstetrics & Gynaecology, Comilla Medical College and Hospital from 1st July 2015 to 31st December 2015. Two hundred women who fulfil the selection criteria were included in this study. History and physical examination were recorded. Colposcopy and biopsy were done on all patients after proper counselling, results were tabulated and analysed. Results: All of the 200 cases had undergone colposcopy examination. Among them, 30% showed no abnormality. In 70% lesion was found. All the study subjects were sampled by colposcopy-guided biopsy. The biopsy results showed 8.5% CIN I, 3.5% CIN II, 1.5% CIN III, 1.5% invasive carcinoma and 41.5% chronic inflammatory lesion). Conclusion: This study's findings support the notion that colposcopy and VIA provide pretty satisfactory diagnostic accuracy in the evaluation of cervical pre-malignant conditions. VIA is a method that is suitable for usage in low-resource situations due to several factors.