Penagaluru Radha 1 , Yaragani Padma 2 , Mrudula Priyanka 3
BACKGROUND The cytologic diagnosis of cervical smears has become a very important screening test for the detection of pre-invasive and invasive cervical epithelial abnormalities. MATERIALS AND METHODS It is a prospective study conducted for a period of 1 year in 100 women who fulfilled the inclusion criteria. Colposcopy, PAP smear and biopsy were done. RESULTS Majority 70.5% i.e., (12/17) of CIN occurred in the age group of 30-49 years. Among the 9 women who took OCP, 12% (2/17) had CIN. Incidence of CIN in the permanently sterilized group was 59% (10/17) and among IUCD user was 5.9% (1/17). Among women who were diagnosed to have CIN, 70.5% (12/17) complained of excessive vaginal discharge 11.7% (2/17) of women had post-coital bleeding. PAP smear had a sensitivity of 29% and a specificity of 88% which was attributed to the high number of false, negative smears. Colposcopy showed a sensitivity of 82% and a specificity of 81%. Sensitivity was more than pap smear but specificity was less than pap smear. Accuracy of Colposcopy was found to be 82% which was comparatively more accurate than pap smear (78%). CONCLUSIONS COLPOSCOPY offers an excellent tool in evaluating cervical lesions. It is an easy and perspective method and its importance lies in teaching, diagnosis and management of cervical lesions, both neoplastic and non-neoplastic
