CORRELATION OF TWO COLPOSCOPIC INDICES FOR PREDICTING PREMALIGNANT LESION OF THE CERVIX

• Dr. Media Emad Hamahameen

  M.B.Ch.B.,C.A.B.O.G , MRCOG \(Gynecology) Iraqi Ministry of Health, Azadi Teaching Hospital, Kirkuk, Iraq

  Author

• Dr. Batool Hasan Mohammed Salih

  M.B.Ch.B., F.I.C.O.G \ (Gynecology) Iraqi Ministry of Health, Azadi Teaching Hospital, Kirkuk, Iraq

  Author

• Dr. Naz Adnan Omar Hussein

  M.B.Ch.B. C.A.B.OG., Gynaecology Iraqi Ministry of Health, Azadi Teaching Hospital Kirkuk , Iraq .

  Author

Background: Cervical cancer is #4 when it comes to female cancers. Globally, incidence and mortality rates are driven by screening programs for cervical precancer and cancer, and by human papillomavirus (HPV) vaccine. The use of grading systems makes colposcopy a lot more accurate. The most commonly utilised systems are the Reid Colposcopic Index (RCI) and the Swede score. Objective: Two colposcopic indices for prediction of premalignant lesion of cervix: How strong they are? Patient and Methods: This cross-sectional study included 60 women with a clinical suspicion of cervical lesions. The study was carried out in the department of obstetrics and gynaecology in Baghdad teaching hospital for a period of one calendar year from February 2019 to January 2020. Histopathology was compared with Reid's colposcopic index and the swede score after each patient had colposcopic examination and colposcopically directed biopsy.
Results: Most of the women in this study (43.3%) were in the 40 to 49 age groups, and the mean age of the 60 women was 39.7 ± 7.7 years. The most common presenting sign was abnormal pap smear (71.7%). There was a sufficiently strong association between RCI and swede score (r = 0.708, p-value <0.001). Of the 50 patients, low-grade lesions were observed in 83.3% and high-grade lesions in 10.7%. The connection of RCI with Swede score was high and statistically significant (kappa of Cohen between 0.61 and 0.8). Higher RCI and swede scores are associated with higher histopathology grades, with high-grade lesions showing significantly higher mean values than low-grade lesions.
Conclusion: We were able to assess the cervical lesions by both procedures, thus both methods are effective. Alternatively, we may assume that these scores are valid for Iraqi women and make colposcopy easier.
Aim :1. Assess the reliability of two colposcopic indices in detecting cervix premalignant lesions. 2. Determine which score is more practical in practice

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