Dr. Ram Manohar Lohia Institute of Medical Sciences, India
Objective:
The study was undertaken to see the correlation between cervical cytology,
histopathology and colposcopy in the diagnosis and management of various
cervical lesions.
Methods: It
is a cross sectional study conducted at a tertiary care hospital in the department of obstetrics and gynecology
for a period of one year. A total 55 sexually active women were enrolled for
the study who belonged to age group greater than 20 years with history of
chronic leucorrhoea or post-coital bleeding/spotting, intermenstrual
bleeding/spotting or examination findings of erosion, an unhealthy cervix, a
lesion bleeding on touch or an abnormal or suspicious Papanicolaou smear. These
women then underwent cytology, colposcopy and cervical biopsy.
Results: The
accuracy of cytology when compared to colposcopy was 81.82%. The accuracy of
colpo-histopathology was 83.6%. The combined accuracy was 76.36%.
Conclusions:
The simultaneous use of cytological studies and screening colposcopy has been
shown to increase the cervical cancer detection. Colposcopy offers an excellent
tool in the hands of a gynaecologist to evaluate the uterine cervix and it is
not possible to develop this kind of perspective by any other method.
Dr. Pooja Gupta has completed
her MBBS and post graduation in Obstetrics and Gynecology from Mumbai, India.
After her post graduation , she has been working in esteemed colleges and at
present working as Professor (Jr, Grade) in Dr. Ram Manohar Lohia Institute of
Medical Sciences, Lucknow , India. She has published quite a few papers in
reputed journals.