Office Cervicoscopy versus Colposcopy for Evaluation of Suspicious Cervix ‎in Assiut Governorate

Abstract

Background: In developed countries, cervical cancer is the second most prevalent cancer between females. When it enters the invasive phase, but outside of all female genital tract cancers, cervical cancer is a deadly disease. If diagnosed in its early stages, it is the only preventable cancer, and the disease is almost 100% curable with accurate screening and early detection. The aim of the work: To determine the effectiveness of both office cervicoscopy and colposcopy-directed biopsy in the assessment of clinically suspicious cervix. Patients and Methods: A prospective randomized controlled study, held on 200 patients randomly selected used closed envelopes with clinically suspicious cervix attending the outpatient clinic of Obstetrics and Gynecology Department, Al-Azhar University Hospital [Assiut]. Results: In case of inflammatory cases, the sensitivity with the pathology results were 97.7%, and 98.1% for colposcopy and office cervicoscopy respectively and specificity were 84.3%, and 94.7% for colposcopy and office cervicoscopy respectively. In case of abnormal vasculature, the sensitivity with the pathology results were 33.3%, and 85% for colposcopy and officecervicoscopy respectively and specificity were 80%, and 94.4% for colposcopy and office cervicoscopy, respectively. Conclusion: Colposcopy and office cervicoscopy have the same sensitivity and specificity for the detection of cervical polyps. But, in case of inflammatory and abnormal vasculature, office cervicoscopy was more sensitive with higher specificity than colposcopy more over office cervicoscopy had a great benefit in the assessment of endocervical canal and uterine cavity so, office cervicoscopy and colposcopy are complementary to each other.

Keywords

• suspicious cervix
• colposcopy
• cervicoscopy
• punch biopsy
• cervical histopathology