Colposcopic Evaluation of Patients With Abnormal Cervical Cytology and/or Unhealthy Cervix

Objectives: To assess the diagnostic accuracy, sensitivity and specificity of colposcopy in patients with abnormal cervical cytology and/or unhealthy cervix.

Methods: Pap smear screening was done in 500 sexually active women attending the Gynaecological OPD at Dayanand Medical College and Hospital, Ludhiana. 252 women with abnormal cervical cytology or unhealthy cervix or both underwent Colposcopy. Cervical biopsy was taken in 87 cases and the results were compared and statistically analysed.

Results: A statistically significant relation was found between abnormal cytology and Grade III colposcopy. Diagnostic accuracy of colposcopy for LSIL and HSIL was 74.07 % and for squamous cell carcinoma it was 83.33%.

Conclusion: Colposcopy should be done routinely in women with abnormal cervical cytology and unhealthy cervix for timely detection of cervical pre neoplastic and neoplastic lesions.