Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancy

Aims: The aim of this study was to compare visual inspection with acetic acid (VIA) with cervical cytology for cervical cancer screening in pregnant women. Settings and Design: A prospective cohort study was conducted after institutional ethical committee approval in a tertiary care hospital in Nort...

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Main Authors: Saritha Shamsunder, Deepika Pannu, Geetika Khanna, Ananya Banerjee, Vijay Zutshi, Sunita Malik
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=1;spage=85;epage=89;aulast=
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author Saritha Shamsunder
Deepika Pannu
Geetika Khanna
Ananya Banerjee
Vijay Zutshi
Sunita Malik
author_facet Saritha Shamsunder
Deepika Pannu
Geetika Khanna
Ananya Banerjee
Vijay Zutshi
Sunita Malik
author_sort Saritha Shamsunder
collection DOAJ
description Aims: The aim of this study was to compare visual inspection with acetic acid (VIA) with cervical cytology for cervical cancer screening in pregnant women. Settings and Design: A prospective cohort study was conducted after institutional ethical committee approval in a tertiary care hospital in Northern India. Pregnant women of gestational age <28 weeks were randomly recruited from the antenatal clinic. Subjects and Methods: All eligible women had a Pap smear followed by VIA; colposcopy was performed if either test was positive. Swede score was used for grading of the acetowhite lesion; biopsy was planned if Swede score was ≥8. Statistical Analysis Used: The sensitivity, specificity, and predictive values for both screening methods were compared with colposcopy as the reference standard. Results: There were 370 low-risk pregnant women in the age group of 20–36 years in the study with a mean parity was 2.1, and the median period of gestation of 14.6 weeks. Abnormal Pap cytology was seen in 5.9% (n = 22) of patients; the abnormalities were ASCUS in 13 (59%), LSIL in 4 (18.2%), and AGC-NOS in 5 (22.7%) patients. VIA positivity was found in 8.4% (n = 31). The positive predictive value was 31.8% for cervical cytology and 48.4% for VIA (P = 0.001). No invasive lesion was detected. Positive predictive value of VIA was significantly higher than Pap cytology for detection of abnormal lesions. Conclusions: VIA is a cost-effective method with better predictive value than Pap smear for cervical cancer screening in pregnant women.
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spelling doaj-art-10b0be8f4ca54a7e806ca62c8b8248d22025-08-20T03:55:45ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292019-01-01401858910.4103/ijmpo.ijmpo_40_18Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancySaritha ShamsunderDeepika PannuGeetika KhannaAnanya BanerjeeVijay ZutshiSunita MalikAims: The aim of this study was to compare visual inspection with acetic acid (VIA) with cervical cytology for cervical cancer screening in pregnant women. Settings and Design: A prospective cohort study was conducted after institutional ethical committee approval in a tertiary care hospital in Northern India. Pregnant women of gestational age <28 weeks were randomly recruited from the antenatal clinic. Subjects and Methods: All eligible women had a Pap smear followed by VIA; colposcopy was performed if either test was positive. Swede score was used for grading of the acetowhite lesion; biopsy was planned if Swede score was ≥8. Statistical Analysis Used: The sensitivity, specificity, and predictive values for both screening methods were compared with colposcopy as the reference standard. Results: There were 370 low-risk pregnant women in the age group of 20–36 years in the study with a mean parity was 2.1, and the median period of gestation of 14.6 weeks. Abnormal Pap cytology was seen in 5.9% (n = 22) of patients; the abnormalities were ASCUS in 13 (59%), LSIL in 4 (18.2%), and AGC-NOS in 5 (22.7%) patients. VIA positivity was found in 8.4% (n = 31). The positive predictive value was 31.8% for cervical cytology and 48.4% for VIA (P = 0.001). No invasive lesion was detected. Positive predictive value of VIA was significantly higher than Pap cytology for detection of abnormal lesions. Conclusions: VIA is a cost-effective method with better predictive value than Pap smear for cervical cancer screening in pregnant women.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=1;spage=85;epage=89;aulast=Cervical cancer screeningcervical cytologypregnancyvisual inspection with acetic acid
spellingShingle Saritha Shamsunder
Deepika Pannu
Geetika Khanna
Ananya Banerjee
Vijay Zutshi
Sunita Malik
Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancy
Indian Journal of Medical and Paediatric Oncology
Cervical cancer screening
cervical cytology
pregnancy
visual inspection with acetic acid
title Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancy
title_full Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancy
title_fullStr Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancy
title_full_unstemmed Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancy
title_short Comparison of cervical cancer screening by visual inspection with acetic acid versus cervical-cytology in pregnancy
title_sort comparison of cervical cancer screening by visual inspection with acetic acid versus cervical cytology in pregnancy
topic Cervical cancer screening
cervical cytology
pregnancy
visual inspection with acetic acid
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=1;spage=85;epage=89;aulast=
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