Modified Cervicography and Visual Inspection With Acetic Acid as an Alternative Screening Method for Cervical Precancerous Lesions

Gatot Purwoto; Hasra Depiesa Dianika; Andre Putra; Sigit Purbadi; Laila Nuranna

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저자정보: Gatot Purwoto (Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunk) Hasra Depiesa Dianika (Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunk) Andre Putra (Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunk) Sigit Purbadi (Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunk) Laila Nuranna (Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunk)

저널정보: 대한암예방학회 대한암예방학회지 대한암예방학회지 제22권 제4호

발행연도: 2017.1

수록면: 254 - 259 (6page)

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Background: We compared the diagnostic accuracy between visual inspection with acetic acid (VIA) and modified cervicography as an alternative screening method for cervical precancerous lesions. Methods: A diagnostic cross-sectional study was performed at the outpatient clinic at an Indonesian national referral hospital from February until April 2015. We collected samples from patients who sequentially underwent VIA examination, modified cervicography, and colposcopy. Results: A total of 185 patients were included in this study. Modified cervicography showed positive results in 7.6% of patients, while 7.0% of patients had a VIA positive result. This is compared to 5.4% of patients showing abnormal colposcopy results. From those results, we obtained that sensitivity and specificity of VIA were 96.0% and 90.9%. Meanwhile, sensitivity and specificity of modified cervicography were 97.7% and 90.9%, respectively, compared to colposcopy as a gold standard. Conclusions: Modified cervicography and VIA are reliable tools for cervical cancer screening, with comparable sensitivity and specificity. Modified cervicography can be used as a supplementary tool to improve the documentation of VIA and as an alternative to VIA alone.

참고문헌 (18)

참고문헌 신청

Sawaya FG / The global library of women's medicine

Miller A / 2002 / Cervical cancer screening in developing countries epidemiological status of cervical cancer

Andrijono / 2009 / Kanker serviks / Divisi Onkologi Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia

Cronjé HS / 2001 / Screening for cervical neoplasia in a developing country utilizing cytology, cervicography and the acetic acid test / Int J Gynaecol Obstet 72:151~157

De Vuyst H / 2005 / Comparison of pap smear, visual inspection with acetic acid, human papillomavirus DNA-PCR testing and cervicography / Int J Gynaecol Obstet 89:120~126

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Gatot Purwoto

소속기관 Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunk