A PROSPECTIVE STUDY TO EVALUATE CORRELATION BETWEEN REID S COLPOSCOPIC INDEX IMPRESSION AND BIOPSY HISTOLOGY.

Corresponding Author:
Dr. Sonal Kulshreshtha,
#403, Satyam Residency,
Satyadev Nagar,
Gandhi Road,
Gwalior-474011.
E-mail: drsonalkulshreshtha@gmail.com

ABSTRACT

BACKGROUND

Aims and Objectives- 1. To correlate the findings in women with unhealthy cervix by cytology, colposcopy and colposcopic directed biopsies; 2. to assess the utility of colposcopy in detecting the premalignant and malignant lesions of the cervix.

MaterialS and methods

It was a prospective study which included 100 patients admitted at Kamla Raja Hospital, Gwalior. Pap smear, colposcopy and colposcopic-guided biopsy was done and results correlated. Colposcopic diagnosis was based on Reid Colposcopic Index.

ResultS

The mean age of the women in the study was 37.85 years. The commonest symptom was recurrent white discharge per vagina (79%). Majority of the study groups were para 2 (33%) and para 3 (34%). Pap smear revealed squamous intraepithelial lesions in 19% cases, whereas 77% has inflammatory smears and in 4% cases smears were within normal limits. The sensitivity and specificity of Pap smear was 43.2% and 95.2% respectively. Positive Pap smear [LSIL/HSIL] was significantly associated with LSIL/HSIL/malignancy [p < 0.001, Chi² (22.4)]. RCI (6.8) was significantly associated with malignancy (p = 0.001, Chi² = 10.5). High RCI (6 - 8) was significantly associated with HSIL (p < 0.001, Chi² = 31.4).

Conclusion

Colposcopy is useful in detecting premalignant and malignant lesions of the cervix. Colposcopy and cytology used together in patients of cervical lesions have relatively higher chances of detecting squamous intraepithelial lesions.

keywords

Cervical Biopsy, Cervical Cancer, Pap Smear, Reid’s Colposcopic Index.