International Journal of Contemporary Surgery
  • Year: 2016
  • Volume: 4
  • Issue: 1

Clinical Correlation of Bad Cervix with Visual Inspection with Acetic Acid and Histopathology

1Resident, Department of Obstetrics & Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal

2Professor, Department of Obstetrics & Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal

3Assistant Professor, Department of Obstetrics & Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal

4Professor and Head, Department of Pathology, Gandhi Medical College, Bhopal

*Corresponding author: Dr. Rekha Wadhwani, 171, Sonagiri, C-Sector, Raisen Road, BHEL, Bhopal, M.P.-462021. Email-drrekhaw@yahoo.co.in, sanyogitasahlam@gmail.com

Online published on 18 February, 2016.

Abstract

Cervical cancer is an important public health problem that deserves urgent attention. It is the second or third most common female cancer and cancer related cause of mortality.

To detect carcinoma cervix, in early stages by clinically and downstaging, i.e. Clinically we will differentiate the unhealthy cervix and with visual inspection of the bad cervix by acetic acid method, and its comparison with histopathology.

Our study included 215 cases of Gynaecology complaints admitted in Sultanian Zanana Hospital, Bhopal from the period of 1st July 2014 to 30th June 2015. All patients were then subjected to VIA and cervical biopsy taken and clinicopathological analysis was done.

Out of 215 cases, Chronic Cervicitis was the most common (97.2%) histopathological report. 1.4% cases were found to be CIN-1, 0.9% CIN-2, 0.5% CIN-3, All dysplasia were seen in VIA positive women. Maximum cases were in the age group of 31–40 years (49.3%), belonged to lower socioeconomic status (58.6%). (57.7%) women were tobacco user and (52.6%) women had first coitus less than 18 years of age.

VIA can be incorportated in routine gynaecological examination so that early detection of preinvasive cervical neoplasia is feasible.

Keywords

Visual Inspection With Acetic Acid (VIA), Cervical Intraepithelial Neoplasia (CIN), Histo Pathological Report (HPR)