Visual inspection using acetic acid and pap smear as a method of cervical cancer screening

2007 ◽  
Vol 28 (1) ◽  
Author(s):  
K. Vadehra ◽  
R. Jha
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Visual Inspection ◽  
Pap Smear

scholarly journals Comparing the results of Pap smear and Direct Visual Inspection (DVI) with 5% acetic acid in cervical cancer screening

2015 ◽  
Vol 56 (1) ◽  
pp. 35 ◽  
Author(s):  
Jamileh Malakouti ◽  
Shakiba Pourasad-Shahrak ◽  
Hanieh Salehi-Pourmehr ◽  
Parvin Mostafa-Garebaghi ◽  
Mohammad Asghari-Jafarabadi ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Visual Inspection ◽  
Pap Smear

scholarly journals Use of visual inspection with acetic acid, Pap smear, or high-risk human papillomavirus testing in women living with HIV/AIDS for posttreatment cervical cancer screening

AIDS ◽  
2017 ◽  
Vol 31 (2) ◽  
pp. 233-240 ◽  
Author(s):  
Elkanah Omenge Orang’o ◽  
Tao Liu ◽  
Astrid Christoffersen-Deb ◽  
Peter Itsura ◽  
John Oguda ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Human Papillomavirus ◽  
Cancer Screening ◽  
High Risk ◽  
Cervical Cancer Screening ◽  
Visual Inspection ◽  
Pap Smear ◽  
Women Living With Hiv ◽  
Living With Hiv

scholarly journals Comparison of the diagnostic value of the visual inspection with acetic acid (VIA) and Pap smear in cervical cancer screening

2019 ◽  
Vol 58 (3) ◽  
pp. 345-348 ◽  
Author(s):  
Zahra Vahedpoor ◽  
Mitra Behrashi ◽  
Tahereh Khamehchian ◽  
Masoumeh Abedzadeh-Kalahroudi ◽  
Alireza Moravveji ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Visual Inspection ◽  
Pap Smear ◽  
Diagnostic Value

Comparative Assessment of Visual Inspection with Acetic Acid and PAP Smear Method For Cervical Cancer Screening in High Risk Cases

2012 ◽  
Vol 2 (11) ◽  
pp. 358-359
Author(s):  
Dr. Meenakshi kashyap ◽  
◽  
Dr.Goyal preeti ◽  
Dr. Monark vyas ◽  
Dr. Parimal patel ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cancer Screening ◽  
High Risk ◽  
Cervical Cancer Screening ◽  
Visual Inspection ◽  
Pap Smear ◽  
Comparative Assessment

scholarly journals The Utility of Visual Inspection with Acetic Acid in Cervical Cancer Screening

2017 ◽  
pp. 7-14
Author(s):  
Chidi Okorie Onwuka ◽  
Ima-Obong A. Ekanem
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cancer Screening ◽  
Negative Predictive Value ◽  
Cervical Cancer Screening ◽  
Predictive Value ◽  
Visual Inspection ◽  
Pap Smear ◽  
Screening Methods ◽  
Cancer Management

Objective: Cervical cancer is potentially preventable but still remains a leading cause of cancer mortality in in developing countries like Nigeria. Cytology-based screening programmes are difficult to maintain in these countries. Developing a cheap and reliable alternative is an important public health measure in these regions. This study was carried out to compare the utility of VIA and Pap smear as Cervical cancer screening methods in HIV-infected and non HIV-infected women. Methodology: Between March, 2013 and March, 2014, 461 consenting women, comprising 231 HIV positive women (HPW) and 230 HIV negative women (HNW) were recruited and screened for cervical cancer using conventional Pap smear and VIA simultaneously in University of Uyo Teaching Hospital. The Pap smear findings were classified using the 2001 Bethesda system. Patients with a positive Pap smear or abnormal VIA findings were recalled for biopsy. The results of the two tests were compared using biopsy as the gold standard. Results: The overall sensitivity, specificity, positive predictive value and negative predictive value for VIA were 100%,80%,76.9%, and 100%, respectively compared to 80%, 100%, 100%, and 88.2% for conventional Pap smear. Visual inspection of the cervix with acetic acid for cervical cancer screening is not specific but has a high negative predictive value. Conclusion: This study does not support a “see-and-treat” approach in cervical cancer management using VIA only. In resource-challenged areas, VIA can be applied on a large scale basis in primary screening for cervical cancer so as to triage, women who will benefit from further evaluation before applying the appropriate treatment.

scholarly journals Accuracy of cytology, visual inspection with acetic acid or lugol’s iodine in cervical cancer screening

1970 ◽  
Vol 2 (2) ◽  
pp. 48-53
Author(s):  
Samira Khan ◽  
Rajshree Jha ◽  
Pradam R Pant
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Visual Inspection ◽  
Pap Smear ◽  
Histological Evaluation ◽  
High Threshold ◽  
Lugol’S Iodine ◽  
Low Threshold

Aims: To study the accuracy of visual inspection using acetic acid (VIA) or Lugol's iodine (VILI) and Pap smear for cervical cancer screening comparing with the histology from positively screened women in all three. Method: In this descriptive study, 300 women 25 - 65 years from Gynecology clinic of T.U Teaching Hospital from December 2004 - 2005 underwent cervical screening. Positive tests for cytology was CIN I or above, VIA was opaque aceto white lesion on applying 4% acetic acid or detection of definite yellow iodine non uptake areas with Lugol's iodine in the transformation zone or close to touching the squamocolumnar junction. Positive cases were scheduled for colposcopy directed biopsies and histological evaluation. Results: Positive results obtained from cytology were 7.3% (22). VIA was positive in 52 women [low threshold +ve in 13.6% (41); high threshold +ve in 3.6%. (11)] VILI tested +ve in 8.7% (26). Cervical biopsy was done in 62 women who had positive result [10 were positive with all three tests, 4 were positive with VIA and Pap smear, 14 were positive with VIA and VILI. 24 were positive with only VIA, 2 were with only VILI and 8 were positive with only Pap smear]. Histology in 19 was suggestive of CIN and carcinoma. [LSIL (12), HSIL (6), carcinoma (1)] Pick up by Pap smear, VIA and VILI were 10; 17 and 15 missing respectively 9:[ LSIL (7) HSIL (2)]; [LSIL (2)] and 4 [LSIL (3) and HSIL (1)]. VIA had highest number of false positive as compared to Pap smear and VILI. Sensitivity for Pap smear (52.6%); low (81.1%)/high threshold VIA (80.0%) and VILI was (78.9%). Specificity for Pap smear (72 %); low was (20%) but high threshold VIA was similar to VILI (74.4%) The positive predictive value of low or high threshold VIA, VILI and cytology were 22.0%, 72.7%, 57.7% and 45.5%; such that the compounding NPV were 80.0%, 80.0%, 88.9% 77.5%. Overall accuracy of high threshold VIA (76 %) was comparable to VILI 75.8%; cytology having 66% and low threshold VIA with 33 %. Conclusion: High threshold VIA and VILI have higher accuracy for detection of precancerous lesions of cervix than Pap smear indicating that these test to be implicated for cancer screening which is more cost effective. Keywords: Visual inspection; acetic acid; Lugol's iodine; VIA; VILI; screening of cervical cancer; Papanicolau (Pap) smear. doi:10.3126/njog.v2i2.1455 N. J. Obstet. Gynaecol 2007 Nov-Dec; 2 (2): 48 - 53

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