1Post Graduate, Obstetrics and Gynaecology, SIMS, Hapur, U.P.
2Professor and Head of Department Obstetrics and Gynaecology, xins , Hapur, U.P.
3Associate Professor, Obstetrics and Gynaecology, SIMS, Hapur, U.P.
4Professor, Community Medicine, Dr. BSA Medical College Delhi
*Corresponding Author: Dr. Reeta Bhati, Post Graduate, Obstetrics and Gynaecology, SIMS, Hapur, U.P. E-mail: reetabhati12@gmail.com
Online published on 25 January, 2018.
Cervical cancer ranks as the second most frequent cancer among women in India. Every year 122844 women are diagnosed with cervical cancer and 67477 die from the disease1.
Role of colposcopy to evaluate unhealthy cervix, localize lesions and obtain biopsies for detection of cervical cancer.
All symptomatic patients coming to gynaecological OPD with unhealthy cervix on per speculum examination were included in the study. Pap smear followed by colposopy was done. Colposcopic guided biopsy was taken from suspicious areas.
Out of 130 patients, 71(54.6%) showed normal colposcopic findings, 55(42.3%) had abnormal findings and 4(3.07%) had unsatisfactory findings and biopsy was taken in cases with abnormal colposcopy. Histopathology confirmed chronic cervicitis in 5(9.1%) cases, 35(63.6%) women with CIN I, 12(21.8%) with CIN II, 3(5.5%) with CIN III. The colposcopy and histopathology findings correlated in 90.9% cases.
Colposcopy should be considered as a primary screening test as it is a good diagnostic tool for pre-malignant conditions of cervix and correlates well with histopathology.
Colposcopy, histopathology, unhealthy cervix
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