Skip Navigation LinksHome > October 2012 - Volume 16 - Issue 4 > Is There a Role for Cervicography in the Detection of Premal...
Journal of Lower Genital Tract Disease:
doi: 10.1097/LGT.0b013e31824454be
Original Articles

Is There a Role for Cervicography in the Detection of Premalignant Lesions of the Uterine Cervix?: A Brazilian Experience

Gasperin, Plinio Jr. MD1,2; Francisco, Jean Alexandre Furtado MD1; Tizzot, Edison Luiz Almeida MD2; Curcio, Leonel Jr. MD2; Filho, José d’ Oliveira Couto MD3; Moreira, Paulo Roberto Clementino MD3; Pascotini, Cleusa Maria Staudt MD3; de Azevedo, Elbens Marcos Minoreli MD3; Coibion, Michel MD4; Budel, Vinicius Milani MD1,2; de Carvalho, Newton Sergio MD2

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Abstract

Objective: This study aimed to compare cervical cancer screening by cervicography with screening by Pap test.

Materials and Methods: This was a comparative multicenter study of cervical cytology and cervicography. The cervicography (slides of the cervix) was taken after the Pap test was completed. In total, samples were collected from 1176 patients. Colposcopy with biopsy was considered the gold standard for the final diagnosis of lesions observed by the Pap test and cervicography. Statistical analysis was performed using the binomial test.

Results: In cases in which the Pap test was negative for cervical lesions, diagnosis by cervicography was positive in 15 cases of cervical intraepithelial neoplasia 1 (CIN 1) (p = .00052), in 1 case of CIN 2, in 1 case of CIN 3, and in 1 case of cancer. However, cervicography produced 3 false-positive results (p < .0001).

Conclusions: Cervicography may be used as a complementary screening method to the Pap test for cervical cancer.

©2012The American Society for Colposcopy and Cervical Pathology

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