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Original Article

J. Islam. Int. Med. Coll.. 2013; 8(1): 15-22


Colposcopy: A Valuable Screening Tool for the Diagnosis of Premalignant and Malignant Cervical Pathologies

Attiqa Zaigham, Asma Shaheen, Azra Saeed Awan, Raazia Rauf.

Abstract
Objective:To correlate colposcopic findings with the results of cervical biopsy and to prove colposcopy as a valuable screening tool for the diagnosis of premalignant and malignant cervical pathologies.
Study Design: A quasi experimental study
Place and Duration of Study: Study was conducted from January 2008 to April 2010 in the Department of Obstetrics & Gynecology, Railway Hospital Rawalpindi.
Materials and Methods: The study population included three hundred women who attended the outpatient department of Railway hospital over a period of two years. All these symptomatic women between the ages of 30-60 years were recruited with one or more of the complaints of post coital bleeding, intermenstral bleeding, postmenopausal bleeding, recurrent vaginal discharge or abnormal Pap smear. The recruited women were examined by speculum, followed by pap-smears. Out of 300 women Pap smear of 200 women was abnormal and showed inflammatory lesions at three consecutive times. These ladies were booked for colposcopy. However, any other women whose reports showed dyskaryotic changes were immediately booked for colposcopy. Biopsies from abnormal areas were taken and sent for histopathology. The reports of cervical biopsy were then analyzed.
Results: Out of 300 women recruited, 200 showed positive Pap smear. 108(54%) symptomatic women showed normal epithelium, while 92 women (46%) had abnormal transformation zone changes. Cervical biopsy reports of 92 women with abnormal colposcopic findings, showed up chronic cervicites in 60 cases, miscellaneous cervical pathologies in 10 cases, no dysplasia in 10 cases and cervical carcinoma was diagnosed in 12 cases.
Conclusion: The study concluded that colposcopy followed by cervical biopsy proved to be a valuable screening tool for the diagnosis of premalignant and malignant cervical pathologies.

Key words: Colposcopy, Dysplasia, Cervicitis, Cervical carcinoma.


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