The value of screening using cervicography in dysplasia and neoplasms of the uterine cervix

In cervical dysplasia and neoplasia, recent studies have reported the unreliability of the pap smear. We have used a new screening technique, cervicography and have compared it to cervix cytology. We have performed biopsies under colposcopy as reference and quality control. On a series of 65 selecte...

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Bibliographic Details
Published inRevue médicale de Bruxelles Vol. 11; no. 1-2; p. 16
Main Authors Coibion, M, Guenier, C, Miloiu, A, Andry, M, Bonnal, J L, Nogaret, J M
Format Journal Article
LanguageFrench
Published Belgium 01.01.1990
Subjects
Female
Humans
Mass Screening
Papanicolaou Test
Photography - methods
Sensitivity and Specificity
Uterine Cervical Dysplasia - diagnosis
Uterine Cervical Dysplasia - prevention & control
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - prevention & control
Vaginal Smears
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Summary:In cervical dysplasia and neoplasia, recent studies have reported the unreliability of the pap smear. We have used a new screening technique, cervicography and have compared it to cervix cytology. We have performed biopsies under colposcopy as reference and quality control. On a series of 65 selected patients with pap smear screening program which were sent to the colposcopic triage, the cervicography is more sensitive (83%) than the pap smear (sensitivity: 42%). However, those two tests are from a specificity point of view, comparable (cervicography: 95% versus pap smear: 98%). The association of these two techniques has detected all the lesions: they seem to be complementary. In the Bordet Institute we decided to systematically perform both pap smear and cervicography for cervix screening.
ISSN:0035-3639