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by Nidhi Gupta, Mukesh Chandra
Cervical cancer is one of the most common neoplastic disease affecting women with a combined worldwide incidence exceeded only by breast and colorectal cancer. The incidence in less developed countries is almost 1.6 times more than that in developed countries and in India it accounts for 80% of all the genital cancers in women. Cervical cancer is a common malignancy which can potentially be treated due to its easy accessibility (to inspection, palpation and cytology) and a long interval between pre-invasive to clinically invasive cancer developments. Many screening modalities are available for early detection of cervical cancer such as Pap smear, colposcopy, visual inspection, HPV DNA testing, etc. The Pap smear has been the most widely used diagnostic modality since the 1959’s, but it gives a significant number of false negative results (10–29% in various studies). Recently colposcopy has emerged as a valuable tool to confirm a cervical lesion. Lately the ASCCP consensus guidelines has recommended routine colposcopy instead of repeated Pap smears since there is a 53–76% likelihood of abnormal follow-up cytology results requiring eventual colposcopy. But, many researchers and the authors believe that simultaneous use of the above two modalities has a high accuracy rate of approximately 98% in detecting cervical cancers and are presently the “gold standard diagnostic modalities”. This book is different as it is neither a textbook of colposcopy nor of histopathology, contains no statistics or bibliographic references, but simply aims to be a practical guide giving gynaecologists the basic knowledge and enabling them to learn colposcopy on their own.
1. Gupta Nidhi
|2. Chandra Mukesh
SN Medical College, Agra, India
S.N. Medical College, Agra
|Obstetrics and Gynecology
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