[Digital cervicography criteria: improving sensitivity in uterine cervical cancer diagnosis].
This study aimed to validate the scoring criteria for digital cervicography. The study enrolled 300 women submitted to a clinical protocol using cytological examination alone, digital cervicography without image magnification (Evaluation 1), and digital cervicography plus additional image magnification and considering the positive criteria (Evaluation 2). Women's mean age was 27.6 years. Positive criteria for digital cervicography were identified in 111 positive cases with pre-cancerous cervical lesions (100%) and in 8 cases classified as false positives (2.6%). Evaluations 1 and 2 classified the tests as positive (163; 54.3%) and suspected (146; 48.6%), respectively. According to the findings, digital cervicography was more sensitive (99.1%) and cytology more specific (100%). Digital cervicography sensitivity increased by 4.5 times when the positive criteria were applied as compared to cytology alone, besides involving low cost, thus suggesting that it is a viable technique.
Franco
Eugênio Santana
ES
Escola Superior de Saúde, Universidade de Aveiro, Aveiro, Portugal.
Hyppólito
Silvia Bomfim
SB
Franco
Rosana Gomes de Freitas Menezes
RG
Oriá
Mônica Oliveira Batista
MO
Almeida
Paulo César de
PC
Pagliuca
Lorita Marlena Freitag
LM
Rocha
Nelson Fernando Pacheco da
NF
D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri / Q000473:pathology*; D003127:Colposcopy / Q000379:methods*; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D010781:Photography / Q000379:methods; D010808:Physical Examination; D012680:Sensitivity and Specificity; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D014626:Vaginal Smears; D055815:Young Adult; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000517:prevention & control