SENSITIVITY AND FEATURES OF VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA), AS A SCREENING TEST FOR CERVICAL CANCER

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FAKOUR F.; ATRKAR ROSHAN Z.; SHAEF S.P.; DALILE HEYRATI S.F.

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Journal: JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES Year:2011 | Volume:20 | Issue:79 Page(s): 49-55

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Title

SENSITIVITY AND FEATURES OF VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA), AS A SCREENING TEST FOR CERVICAL CANCER

Author(s)

FAKOUR F. | ATRKAR ROSHAN Z. | SHAEF S.P. | DALILE HEYRATI S.F. | Issue Writer Certificate

Keywords

ACETIC ACIDQ2

CERVIX UTERIQ3

COLPOSCOPYQ3

IRRIGATIONQ2

MASS SCREENINGQ2

SENSIVITY AND SPECIFICITYQ2

UTERINE CERVICALQ4

Abstract

Introduction: Due to high false negative results of Pap smear, investigators are trying to design alternative tests for screening. One such option is Visual Inspection with ACETIC ACID (VIA).Objective: To determine the sensitivity and specificity of VIA as an alternative screening test for cervical cancer prevention.Materials and Methods: This is a prospective study on 401 based on demographic questioner, three separate Pap smear, referred to alzahra hospital Gynecology clinic. All the patients were given questionnaires of demographic characteristics and then underwent 3 separate tests (Pap smear, VIA and COLPOSCOPY) simultaneously. If colposcopic evaluation was abnormal, a sample biopsy was taken. The gold standard test is considered to be COLPOSCOPY-directed biopsy. Upon data collection, they were analyzed by statistical software SPSS version 14.Results: As shown, 12 had abnormal Pap smear, 39 with positive VIA and 11 had abnormal COLPOSCOPY. Sensitivity of VIA was found to be 72.7%, and specificity 92.1%.Pap smear detected 83.3% CINI, 66.6% CIN III, 50% Invasive cancers whereas VIA detected 50% CINI and 100% CIN III and invasive cancers. Both tests yielded 3 false negative results. The number of false positives was higher for VIA.Conclusion: VIA is a more powerful screening test than Pap smear but its detection ability for CIN I is lower, compared with Pap smear. In order to minimize false negative results, we propose combination of VIA and Pap smear.

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APA: Copy

FAKOUR, F., ATRKAR ROSHAN, Z., SHAEF, S.P., & DALILE HEYRATI, S.F.. (2011). SENSITIVITY AND FEATURES OF VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA), AS A SCREENING TEST FOR CERVICAL CANCER. JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES, 20(79), 49-55. SID. https://sid.ir/paper/40262/en

Vancouver: Copy

FAKOUR F., ATRKAR ROSHAN Z., SHAEF S.P., DALILE HEYRATI S.F.. SENSITIVITY AND FEATURES OF VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA), AS A SCREENING TEST FOR CERVICAL CANCER. JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2011;20(79):49-55. Available from: https://sid.ir/paper/40262/en

IEEE: Copy

F. FAKOUR, Z. ATRKAR ROSHAN, S.P. SHAEF, and S.F. DALILE HEYRATI, “SENSITIVITY AND FEATURES OF VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA), AS A SCREENING TEST FOR CERVICAL CANCER,” JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES, vol. 20, no. 79, pp. 49–55, 2011, [Online]. Available: https://sid.ir/paper/40262/en

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