Objective: To correlate the colposcopic appearances using acetic acid with histology of colposcopic directed biopsy and detection of premalignant lesions of cervix for early treatment
Materials and Methods: This is a prospective observational study done among 80 married women aged 20 to 60 years who had clinically unhealthy cervix attending the outpatient Department of Obstetrics and Gynaecology of ASRAM Medical college from January 2019 to December 2019. All the patients were subjected to VIA test. Colposcopic evaluation done in VIA positive cases and the findings were noted. Colposcopy directed biopsy was taken from colposcopically suspected areas and sent for histopathological examination The finding of visual inspection of cervix with acetic acid and colposcopy were correlated with histopathological finding and compared with each other.
Results The age of participants ranged from 20 to 60 years and many are para 2. visual inspection of cervix with acetic acid and colposcopy were positive in 25 (31.25%) and 24 (30%) respectively.
There were five (12.5%) cases of histopathologically proven lesion. The sensitivity of visual inspection of cervix with acetic acid and colposcopy were 85% and 100 % respectively and that of specificity were 86% and 86%.
Conclusion: Colposcopy and colposcopic directed biopsy should be included in screening for early detection of cancer of cervix since the accuracy of detection of cervical abnormalities is higher. Colposcopy plays a very important role in the evaluation of VIA positive cases of unhealthy cervix.