A comparative study between Reid’s colposcopic index score and Swede score in women suspected of cervical cancer

Priya, Swati; Kumar, Rajiv; Gandhi, Gauri; Murmu, Suhagini; Agarwal, Krishana

doi:10.21276/obgyn.2021.7.2.2

Cited by 2 publications

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“…Whereas the positive predictive value of swede score for high grade lesions was found to be 37.5% which was comparable to study by Priya et al, where it was 42.7%. 17 The negative predictive value of swede score as a screening test in the present study was found to be 87.50% which was also comparable to 91.4% in study by Rahman et al 8 The negative predictive value of swede score for high grade lesions was 100%, similar to results seen in study by Rahman et al 8 In the present study, the sensitivity of modified IFCPC 2011 nomenclature in the detection of low-grade premalignant lesions was found to be 87.5% which was comparable to the study by Fan et al, (80.3%) and study by Li et al (79.34%) whereas the sensitivity of modified IFCPC 2011 nomenclature in the detection of high-grade premalignant lesions was found to be 100% which was comparable to the study by Zhang et al, (92.7%), higher than study by Li et al (63.64%). 16,18,19 The specificity of modified IFCPC 2011 nomenclature for low grade premalignant lesions in the present study was found to be 58.82% which was comparable to study by Li et al and Fan et a where it was 67.14% and 63.70% respectively whereas the specificity of modified IFCPC 2011 nomenclature for high grade lesions in the present study was found to be 100% which was comparable to study by Li et al (96.01%) and Fan et al (98%).…”

Section: Discussionmentioning

confidence: 99%

Colposcopic evaluation with modified IFCPC 2011 nomenclature and Swede score for diagnosing premalignant lesions of cervix: a comparative study

Arora,

Lal,

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Cervical cancer has a long precancerous stage. The early diagnosis in preinvasive stage provides a golden opportunity for prompt intervention to prevent its catastrophic consequences. Through this study we intended to compare the diagnostic accuracy of modified IFCPC 2011 nomenclature and Swede score with respect to gold standard histopathology in colposcopic evaluation of premalignant cervical lesions. Methods: A comparative study was conducted at tertiary care hospital in Delhi, India between January 2021 to June 2022 on 50 women with abnormal Papanicolaou smear (ASCUS, LSIL, ASC-H, HSIL). Scoring of colposcopic lesions was done according to IFCPC nomenclature and Swede’s scoring system. The two colposcopic scores were compared and their statistical association with histological findings were analysed. The collected data was analysed using SPSS version 25. The association of the qualitative variables were analysed using Fischer’s exact test. Agreement was measured by Cohen kappa statistics. Results: Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of modified IFCPC 2011 nomenclature for predicting LSIL and HSIL were 87.50%, 58.82%, 50%, 90.91%, 68% and 100%, 100%, 100%, 100%, 100% respectively. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of swede score for predicting LSIL and HSIL were 87.50%, 41.18%, 41.18%, 87.50%, 56% and 100%, 77.27%, 37.50%, 100%, 80% respectively. Conclusions: Modified IFCPC 2011 nomenclature had better predictive value than swede score in diagnosing both low grade and high grade premalignant lesions of cervix.

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Section: Discussionmentioning

confidence: 99%

Colposcopic evaluation with modified IFCPC 2011 nomenclature and Swede score for diagnosing premalignant lesions of cervix: a comparative study

Arora,

Lal,

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“Colposcopy in the Diagnosis of Premalignant Intraepithelial Lesions of the Cervix”

Jain¹,

Chimrani²,

Gupta³

et al. 2022

ijsr

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Introduction Cervical malignancy is the fourth most common cancer in women. By 2030, cervical cancer is expected to kill over 474,000 women per year and 95 % of these deaths are expected to be in low- and middle-income countries. Colposcopy is a simple non-invasive procedure to study benign and premalignant lesions of the cervix. It also determines the location, size, and extent of abnormal cervical lesions and guides to detecting the site for biopsies. Material and method This retrospective study was carried out at a colposcopy clinic in district Shivpuri M.P. From 1 April 2019 to 31 July 2022. About a total of 59 patients were selected for this study. After counseling and written consent, the colposcopy was carried out in screened-positive patients. All results were noted and documented. In the patient with a positive nding suspicious of the premalignant lesion, a biopsy was taken from the suspicious area and sent for histopathological examination. Result The most common age group nding in this study was between 31-40 (44.06%), Most of the patients were of low socioeconomic group (50.84%), most common age at marriage was 18-20 years (54.23%) most of them were multipara (76.27%) and most of them were belong to rural area (61.01%). The most common presenting symptom was excessive vaginal discharge (61.01%) followed by post-coital bleeding (11.86%) and abnormal intermenstrual bleeding (11.86%). Out of 59 patients, with Swede score on Colposcopic examination LSILcases were 54.23% and HSILcases were 18.64%. On a colposcopy-directed biopsy, among a total of 59 patients, histopathology examination results showed Chronic cervicitis in (18.64%) patients, CIN I in (40.67%), CIN II (28.81%), and CIN III (11.86%). Conclusion Colposcopy is an important triaging investigation between a screen-positive woman and the histopathological diagnosis and thus represents an important component of cervical cancer screening.

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A comparative study between Reid’s colposcopic index score and Swede score in women suspected of cervical cancer

Cited by 2 publications

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Colposcopic evaluation with modified IFCPC 2011 nomenclature and Swede score for diagnosing premalignant lesions of cervix: a comparative study

Colposcopic evaluation with modified IFCPC 2011 nomenclature and Swede score for diagnosing premalignant lesions of cervix: a comparative study

“Colposcopy in the Diagnosis of Premalignant Intraepithelial Lesions of the Cervix”

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