Authors: Sultana Aklima, Noor Sirajun, Begum Lutfun Nahar, Sultana Kawsar, Alam Jahangir
Carcinoma cervix is the 2nd most common gynecological cancer in female and an important cause of cancer death. But early detection and proper management can improve disease free and progression free survival. Colposcopy is a way of looking at the cervix through a special magnifying device called a colposcope. It is done when results of cervical cancer screening tests show abnormal changes in the cells of the cervix. So, the aim of the present study is to detect preinvasive and micro-invasive lesions of carcinoma cervix at the OBGYN outdoor in a tertiary level hospital.
Data was collected from patients visiting the gynecology outdoor for suspicious carcinoma cervix based on clinical history and screening tests (Pap smear and VIA test). After obtaining an informed written consent, a total of 324 patients were included in this study.
Most of the study subjects were found in the age group 31-40 years (41.36%); majority were from urban region (73.77%) and were house wives (77.78%). Regarding colposcopic evaluation, 32 (9.88%) patients had abnormal findings. 27 of them showed cervical intraepithelial neoplasia I (CIN I), 3 showed cervical intraepithelial neoplasia II (CIN II), 1 depicted cervical intraepithelial neoplasia III (CIN III), and one invasive cancer on colposcopy guided biopsy. All cases were managed accordingly. Among these patients, 25 showed a positive result on biopsy that was used as a confirmatory test. In the remaining 7 patients, biopsy showed chronic cervicitis. In this study colposcopy had a sensitivity of 78.125%.
Colposcopic evaluation is an important tool to diagnose, preinvasive and micro-invasive lesion of cervical carcinoma which can help in early detection and management of the patient.
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