Abstract
ObjectiveTo correlate colposcopic findings with the results of cervical biopsy and to prove colposcopy as a
valuable screening tool for the diagnosis of premalignant and malignant cervical pathologies.
Study Design: A quasi experimental study
Place and Duration of Study: Study was conducted from January 2008 to April 2010 in the Department of
Obstetrics & Gynecology, Railway Hospital Rawalpindi.
Materials and Methods: The study population included three hundred women who attended the outpatient
department of Railway hospital over a period of two years. All these symptomatic women between the ages
of 30-60 years were recruited with one or more of the complaints of post coital bleeding, intermenstral
bleeding, postmenopausal bleeding, recurrent vaginal discharge or abnormal Pap smear.
The recruited wonnen were examined by speculum, followed by pap-smears. Out of 300 women Pap smear of
200 women was abnormal and showed inflammatory lesions at three consecutive times. These ladies were
booked for colposcopy. However, any other v.omen wmse reports showed dyskaryotic changes were
immediately booked for colposcopy, Biopsies from abnormal areas were taken and sent for histopathology. The
reportsof cervical biopsywere then analyzed.
Results: Out of 300 women recruited, 200 showed positive Pap smear 108(54%) symptomatic women showed
normal epithelium, while 92 women (46%) had abnormal transformation zone changes. Cervical biopsy reports
15
Of 92 women With abnormal colposcopic findings, shovved up chronic cervicites in 60 cases, miscellaneous
cervical pathologies in 10cases, nodysplasia in 10casesand cervical carcinoma was diagnosed in 12cases,
Conclusion: The study concluded that colposcopy followed by cervical biopsy proved to be a valuable
screening tool forthe diagnosis of premalignant and malignant cervical pathologies.
Attiqa Zaigham, Asma Shaheen, Azra Saeed Awan, Raazia Rauf. (2013) Colposcopy: A Valuable Screening Tool for the Diagnosis of Premalignant and Malignant Cervical Pathologies, Journal of Islamic International Medical College, Volume-8, Issue-1.
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