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

Authors

  • Peru Pradhan Kirtipur Hospital, Kirtipur, Kathmandu
  • Sona Shrestha Kirtipur Hospital, Kirtipur, Kathmandu
  • Ganesh Dangal Kathmandu Model Hospital, Kathmandu
  • Kabin Bhattachan Kathmandu Model Hospital, Kathmandu

Keywords:

acetic acid, cervical cancer, Pap smear, Papanicolaou smear, visual inspection

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: Themajority of these women were in the age range of 30-39 years, non-smokers, housewives, multipara and non-users 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.

Downloads

Download data is not yet available.
Abstract
1284
PDF
763

Author Biographies

Peru Pradhan, Kirtipur Hospital, Kirtipur, Kathmandu

Department of Obstetrics and Gynaecology

Sona Shrestha, Kirtipur Hospital, Kirtipur, Kathmandu

Department of Obstetrics and Gynaecology

Ganesh Dangal, Kathmandu Model Hospital, Kathmandu

Department of Obstetrics and Gynaecology

Kabin Bhattachan, Kathmandu Model Hospital, Kathmandu

Department of Obstetrics and Gynaecology

Downloads

Published

2017-06-03

How to Cite

Pradhan, P., Shrestha, S., Dangal, G., & Bhattachan, K. (2017). Effectiveness of Visual Inspection with Acetic Acid versus Papanicolaou Smear for Cervical Cancer Screening at Kirtipur Hospital. Nepal Journal of Obstetrics and Gynaecology, 11(2), 28–31. Retrieved from https://nepjol.info./index.php/NJOG/article/view/17457

Issue

Section

Original Articles