Effectiveness of Visual Inspection with Acetic Acid versus Papanicolaou Smear for Cervical Cancer Screening at Kirtipur Hospital

  • Pradhan P, Shrestha S, Dangal G, Bhattachan K Department of Obstetrics and Gynaecology, Kirtipur Hospital, Kirtipur, Kathmandu, Nepal

Abstract

Aims: The aim of this study was to compare the accuracy of detecting precancerous cervical cells, via a visual inspection of the cervix and an application of acetic acid (VIA) with the Papanicolaou (Pap) smear,to screen for cervical cancer in resource poor countries.


Methods: The study involved 189 women between the ages of 30-60 years, who attended the Gynaecological Out Patient Department at Kirtipur hospital from 1st December 2014 to 31st March 2015. A VIA and Pap smear was done in all women, with cervical biopsies conducted in VIA positive women.


Results: The majority of these women were in the age range of 30-39 years, non-smokers, housewives, multipara and nonusers of contraception. Of the tested group 8 (4.2%) had a history of post coital bleeding, 64 (21.2%) presented with lower abdominal pain, 64 (33.9%) presented with suspected abnormal vaginal discharge and 34 (17.98%) with dysfunctional uterine bleeding. Out of 189 women the VIA was positive in 5 (2.62%) and a Pap smear was positive in 2 (1.1%). Bycomparison to a Pap smear the VIA has an accuracyof 100%, specificity 98.4%, positive predictive value 40% and negative predictive value 100%.


Conclusions: A visual inspection of the cervix with acetic acid performed by a qualified physician is a suitable alternative for precancerous cell screening in low resource settings.


Keywords: acetic acid; cervical cancer; Pap smear; Papanicolaou smear; visual inspection.


DOI: http://dx.doi.org/10.3126/njog.v11i2.17457

Published
Jan 30, 2018
How to Cite
BHATTACHAN K, Pradhan P, Shrestha S, Dangal G,. Effectiveness of Visual Inspection with Acetic Acid versus Papanicolaou Smear for Cervical Cancer Screening at Kirtipur Hospital. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 11, n. 02, p. 28-31, jan. 2018. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/853>. Date accessed: 24 aug. 2019.
Section
Original Articles