Colposcopic Directed Biopsy in Positive Visual Inspection with Acetic Acid | ||
| Benha Medical Journal | ||
| Article 756, Volume 42, Issue 5, May 2025, Pages 124-132 PDF (581.22 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2024.311501.2163 | ||
| Authors | ||
| Mohamed Abdulsalam Mohamed1; Amr Ali Mohamed Sharaf El-Dien2; Hend Ahmed Mohamed Mahgoub* 3; Ali Abd El Ghani Bendary4 | ||
| 1Professor and head of Obstetrics and Gynecolog, Faculty of Medicine, Benha University, Egypt | ||
| 2Professor of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Egypt | ||
| 3M.B.B.Ch, Faculty of Medicine, Benha University, Egypt | ||
| 4Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Benha University, Egypt | ||
| Abstract | ||
| Background: Cervical cancer is a major cause of death among women, with 528,000 new cases annually. It is the fourth most common cancer affecting women worldwide, with nearly 70% of the global burden falling in areas with lower levels of development. This study aimed to evaluate the performance of colposcopy in estimating the presence of cervical lesion as a secondary test modality to triage women found positive on visual inspection with acetic acid (VIA) test. Methods: This prospective cross-sectional study was conducted on 100 women at Obstetrics and Gynecology clinics of Benha University Hospitals from May 2023 till November 2023. Results: The mean blood pressure was 123.87 with a standard deviation of 9.5, 73.03 with a standard deviation of 8.42, and 15.26 with a standard deviation of 3.79. The mean hemoglobin was 11.13 with a standard deviation of 1.03, and the mean red blood cell count was 4.76 with a standard deviation of 0.28, and 7.77 with a standard deviation of 1.65. The majority of patients had squamous metaplasia, leukoplakia, condyloma/wart, cervical intraepithelial neoplasia CIN1 (70%), CIN2–3 (7%), and invasive carcinoma (3%). Conclusion: VIA and colposcopy are crucial diagnostic tools for cervical pre-malignancy, particularly in underdeveloped countries. VIA is often used alongside colposcopy for screening, while colposcopy is a sensitive test for detecting cervical cancer and can be used as a secondary test to triage women positive on VIA. | ||
| Keywords | ||
| Colposcopic; Biopsy; Positive Visual Inspection; Acetic Acid | ||
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