Is there a role for cervicography in the detection of premalignant lesions of the uterine cervix?: a Brazilian experience.
OBJECTIVE
This study aimed to compare cervical cancer screening by cervicography with screening by Pap test.


METHODS
This was a comparative multicenter study of cervical cytology and cervicography. The cervicography (slides of the cervix) was taken after the Pap test was completed. In total, samples were collected from 1176 patients. Colposcopy with biopsy was considered the gold standard for the final diagnosis of lesions observed by the Pap test and cervicography. Statistical analysis was performed using the binomial test.


RESULTS
In cases in which the Pap test was negative for cervical lesions, diagnosis by cervicography was positive in 15 cases of cervical intraepithelial neoplasia 1 (CIN 1) (p = .00052), in 1 case of CIN 2, in 1 case of CIN 3, and in 1 case of cancer. However, cervicography produced 3 false-positive results (p < .0001).


CONCLUSIONS
Cervicography may be used as a complementary screening method to the Pap test for cervical cancer.
Gynecology Department, Evangelic School of Medicine of Parana, Federal University of Parana, Parana, Brazil. pliniogasp@hotmail.com
Plinio
P
Gasperin
Jean Alexandre Furtado
JA
Francisco
Edison Luiz Almeida
EL
Tizzot
Leonel
L
Curcio
José d' Oliveira
Jd
Couto Filho
Paulo Roberto Clementino
PR
Moreira
Cleusa Maria Staudt
CM
Pascotini
Elbens Marcos Minoreli
EM
de Azevedo
Michel
M
Coibion
Vinicius Milani
VM
Budel
Newton Sergio
NS
de Carvalho
D000293:Adolescent; D000328:Adult; D001938:Brazil; D002584:Cervix Uteri / Q000473:pathology*; D015510:Clinical Medicine / Q000379:methods*; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D012680:Sensitivity and Specificity; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears; D055815:Young Adult