Screening Program for cervical cancer among rural women by Visual Inspection with Acetic Acid (VIA): A Camp approach in Eastern India

Date 24 November 2018
Event ESMO Asia 2018 Congress
Session Poster display - Cocktail
Topics Cancer Care Delivery in Low Resource Environments
Bioethics, Legal, and Economic Issues
Cervical Cancer
Presenter Ishita Mandal
Citation Annals of Oncology (2018) 29 (suppl_9): ix79-ix86. 10.1093/annonc/mdy436
Authors I. Mandal1, J. Basak2, A. Mukhopadhyay3, C. Bose3
  • 1Molecular Biology, Netaji Subhas Chandra Bose Cancer Research Institute, 700094 - Kolkata/IN
  • 2Molecular Biology, Netaji Subhas Chandra Bose Cancer Research Institute, 700094 - Kolkata/IN
  • 3Medical Oncology, Netaji Subhas Chandra Bose Cancer Research Institute, 700094 - Kolkata/IN

Abstract

Background

Cervical cancer is the most common cause of cancer related death among women in developing countries. It is the second most common cancer in women aged 15–44 years. Current data from the National Cancer Registry Program (NCRP) indicate that the most common sites of cancer among women are the breasts and the cervix. An analysis of population-based surveys has indicated that cervical cancer is the most common cancer among women in West Bengal. Early detection increases patient survival, so screening is very important. Visual inspection by acetic acid (VIA) is preferred over PAP (Papanicolaou) test since it is inexpensive and requires minimum equipment.

Methods

6004 women were screened who participated in the camps, which were organized in remote districts of West Bengal, India. Screening of these women was done by VIA combined with colposcopy and LEEP (loop electrosurgical excision procedure). Local prevalence of neoplasia was calculated. Efficacy of the method was estimated by the frequentist probability approach.

Results

In colposcopy-positive advanced Cervical Intraepithelial Neoplasia (CIN) II and III group we had 83 cases. Gold standard biopsy of them resulted in 55 true positive cases. Number of frank cases were 7. Prevalence for Cervical Intraepithelial Neoplasia was found to be 1.03%.

Conclusions

Confirmation of the cases by gold standard biopsy indicates the efficacy of the method. Awareness among the rural women and screening for cervical cancer is necessary. Many such camp approaches to screening should be conducted in India.

Editorial acknowledgement

Clinical trial identification

Legal entity responsible for the study

Netaji Subhas Chandra Bose Cancer Research Institute.

Funding

Department of Biotechnology, Govt. of India.

Disclosure

All authors have declared no conflicts of interest.