title: Correlation of Cytology and Colposcopic Findings Using Reid's Index in VIA-Positive Women.
abstract: BACKGROUND
  Cervical cancer is the most common cancer among Indian women. Only 5 % of women in developing countries have ever been screened for cervical abnormalities.
  
  
  OBJECTIVE
  To study the correlation of cytology and colposcopy in VIA-positive women attending the Gynaecology clinic.
  
  
  METHODS
  This prospective cross-sectional study on 200 symptomatic women compares the role of cytology and colposcopy in the assessment of subjects testing positive for acetowhite lesions on the cervix after application of 5 % acetic acid (VIA).
  
  
  RESULTS
  200/637 women screened in OPD tested VIA positive, giving a positivity rate of 31 %. Six smears were reported as LGSIL or HGSIL giving a cytological abnormality rate of 3 %. The association between cytology and Reid's score was statistically significant at a p value of 0.02. Of the 4 cases with biopsy-confirmed invasive cancer, cytology reported 2 as LGSIL and 2 as HGSIL. Colposcopy reported all these women as CIN 2/3.
  
  
  CONCLUSIONS
  The accuracies of Pap smear cytology and colposcopy in the diagnosis of precancerous and cancerous lesions of cervix were good.
authors.affiliation: Department of Obstetrics and Gynecology, Baroda Medical College, Baroda, India.
authors.forename: Nisarg
authors.initials: N
authors.lastname: Dharaiya
authors.affiliation: Department of Obstetrics and Gynecology, Baroda Medical College, Baroda, India.
authors.forename: Nandita
authors.initials: N
authors.lastname: Maitra
keywords: Cervical cancer; Colposcopy; Reid’s Index; VIA positivity