CORRELATION OF CIN CASES BETWEEN COLPOSCOPY AND COLPOSCOPY DIRECTED BIOPSY FINDINGS

Dr. Shamima Yasmin*

ABSTRACT

Background: Cervical cancer is both preventable and curable at an extent as the different screening, diagnostic and therapeutic procedure are effective. It has a long natural history with a prolonged premalignant lesion that is detectable and treatable. Colposcopy in the triage in screening. Assessment of unhealthy cervix, colposcopic evaluation has a great role in early detection of premalignant lesion of there by prevention of invasive carcinoma cervix. Objective: In this study our main goal is to evaluate the co-relation of CIN cases between colposcopy and colposcopy directed biopsy findings. Method: this prospective, clinical study was done at CMH, Department of Obstetrics and Gynecology, Chattogram from June 2015 to June 2017. A total 300 patients having clinically unhealthy cervix included in the study, where a detailed history was taken and a thorough clinical examination was done in all patients. Results: Most of the patients belongs to 31-40 years age group, 48.67%, followed by 5% patients in >50 age group, 35.67% patients in 41-50 age group and 10.67% patients in 20-30 years age group. Among 300 patients 24.67% had erosion, 10.67% were healthy, 15% had excessive per vaginal (P/V) discharge, 6.67% had polyps. CIN I cases was found in 20(6.67%) in the patients according to colposcopy findings whereas in colposcopy directed biopsy CIN I cases was found in 26(8.67%) in the patients. Followed by CIN II and CIN III was found 6(2%), 5(1.67%) from colposcopy findings. On the other hand, CIN II and CIN III was found 8(2.67%),3(1%) also early invasive carcinoma 2(.67%) from colposcopy directed biopsy findings. Conclusion: from our result we can conclude that, we are able to assess the prevalence of CIN (Pre-malignant lesion) among clinically Unhealthy cervix and also able to get a good correlation between colposcopy and colposcopy directed biopsy.

Keywords: Unhealthy cervix, colposcopy, visual inspection of cervix e acetic acid, cervical intraepithelial neoplasia (CIN).