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

Date

24 Nov 2018

Session

Poster display - Cocktail

Presenters

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

Author affiliations

  • 1 Molecular Biology, Netaji Subhas Chandra Bose Cancer Research Institute, 700094 - Kolkata/IN
  • 2 Molecular Biology, Netaji Subhas Chandra Bose Cancer Research Institute, 700094 - Kolkata/IN
  • 3 Medical Oncology, Netaji Subhas Chandra Bose Cancer Research Institute, 700094 - Kolkata/IN
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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.

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