Study of Efficacy of Visual Inspection With Diluted Acetic Acid and Lugol’s Iodine for Early Detection of Cervical Cancer

Abstract

Total number of women screened were 834, who were attending regular outdoor in Mahatma Gandhi Medical Hospital for any gynecological complaints. Age group was 30-50years; women were not pregnant and not menstruating. Out of 834 subjects, 21 subjects refused for VIA and Colposcopy, only VILI was done in these cases. RESULTS: This study was carried out during Jan 2010 to March 2013. A total of 834 women were recruited, 21 women refused for VIA and colposcopy. Out of 834 cases, in 4 cases SCJ (Squamo Columnar Junction) not seen, in 98% women SCJ seen fully. Out of 834, 225 (27%) cases were VILI positive and out of 813, 184 cases i.e. 22.6% were Via positive Biopsy was taken in 223 cases where HSIL reported in 3 cases (1.4%) and invasive squamous cell carcinoma in 4 cases. Out of 834 women, cryotherapy was done in 61 cases and LEEP in 15 cases, conization in 1andsurgery in 3 cases. CONCLUSION: Visual screening has been taken as most effective method as compared to cytology or HPV testing. It is cheap, outdoor procedure, can be done by paramedical staff and can be done in large scale.