الفهرس 
Review of literatureOnly 14 pages are availabe for public view
 |  | from | 155 |  |  |
| | | from | 155 | | |
Abstract
Cervical cancer is one of the leading causes of cancer related
deaths in developing countries worldwide with incidence rates varying
considerably from 3 to 61 per 100.000 females. In western world
cervical cancer screening has been shown to decrease the incidence of
invasive cervical cancer rates and decrease cervical cancer related
mortality through the cytology based screening programs.
Our study included 5000 women. Cervical smears were
obtained from all women for cytolgoic evaluation followed by visual
inspection of cervix after acetic acid application (VIA) women with
positive report on either test were reffered for colposcopy and biopsy
when appropriate in order to decrease the verification bias all women
were subjected to both screening tests, all women attended Minofeia
University outpatient clinic were referred for colposcopy also
colposcopy was performed for women with negative VIA and
negative smears if they had contact bleeding, chronic per vaginal
discharge or grossly looking unhealthy cervix.
Results of VIA were normal in 4850 women (97%) and showed
abnormal acetowhite appearance in 150 (3%) women.
There were 2089 (41.78%) colposcopic examinations and 200
biopsies (4%) were carried out, picking up 50 cases of premalignant
lesions (1%). Premalignant lesions were 47 LSIL and 3 HSIL.
VIA detected 48 of the 50 premalignant lesions (sensitivity
96%, specificity 97.5%, PPV 50%) VIA missed 2 cases of LSIL.