Colposcopic Directed Biopsy in Positive Visual Inspection with Acetic Acid

Abdulsalam Mohamed, Mohamed; Ali Mohamed Sharaf El-Dien, Amr; Ahmed Mohamed Mahgoub, Hend; Abd El Ghani Bendary, Ali

doi:10.21608/bmfj.2024.311501.2163

Colposcopic Directed Biopsy in Positive Visual Inspection with Acetic Acid

Articles in Press

Document Type : Editorial

Authors

¹ Professor and head of Obstetrics and Gynecolog, Faculty of Medicine, Benha University, Egypt

² Professor of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Egypt

³ M.B.B.Ch, Faculty of Medicine, Benha University, Egypt

⁴ Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Egypt

10.21608/bmfj.2024.311501.2163

Abstract

Background: Cervical cancer is a major cause of death among women, with 528,000 new cases annually. It is the fourth most common cancer affecting women worldwide, with nearly 70% of the global burden falling in areas with lower levels of development. This study aimed to evaluate the performance of colposcopy in estimating the presence of cervical lesion as a secondary test modality to triage women found positive on visual inspection with acetic acid (VIA) test. Methods: This prospective cross-sectional study was conducted on 100 women at Obstetrics and Gynecology clinics of Benha University Hospitals from May 2023 till November 2023. Results: The mean blood pressure was 123.87 with a standard deviation of 9.5, 73.03 with a standard deviation of 8.42, and 15.26 with a standard deviation of 3.79. The mean hemoglobin was 11.13 with a standard deviation of 1.03, and the mean red blood cell count was 4.76 with a standard deviation of 0.28, and 7.77 with a standard deviation of 1.65. The majority of patients had squamous metaplasia, leukoplakia, condyloma/wart, cervical intraepithelial neoplasia CIN1 (70%), CIN2–3 (7%), and invasive carcinoma (3%). Conclusion: VIA and colposcopy are crucial diagnostic tools for cervical pre-malignancy, particularly in underdeveloped countries. VIA is often used alongside colposcopy for screening, while colposcopy is a sensitive test for detecting cervical cancer and can be used as a secondary test to triage women positive on VIA.

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