Clinical Usefulness of Cervicogram as a Primary Screening Test for Cervical Neoplasia.
10.3349/ymj.2005.46.2.213
- Author:
Young Tae KIM
1
;
Jae Wook KIM
;
Sung Hoon KIM
;
Yu Ri KIM
;
Jae Hoon KIM
;
Bo Sung YOON
;
Yong Won PARK
Author Information
1. Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea. ytkchoi@yumc.yonsei.ac.kr
- Publication Type:Original Article ; Evaluation Studies ; Research Support, Non-U.S. Gov't
- Keywords:
Cervicogram;
primary screening test;
diagnostic accuracy;
the Pap test
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Cervix Neoplasms/diagnosis/*pathology;
Cervix Uteri/*pathology;
Female;
Humans;
Mass Screening/*methods;
Middle Aged;
Photography/*standards;
Predictive Value of Tests;
Research Support, Non-U.S. Gov't;
Sensitivity and Specificity;
Vaginal Smears
- From:Yonsei Medical Journal
2005;46(2):213-220
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study is to evaluate the clinical usefulness of the cervicogram as a primary screening test for cervical neoplasia. A total of 294 women who had undergone a cervicogram and a Pap test between January and July 2003, were selected. The diagnostic accuracy of the Pap test, cervicogram, and the Pap test combined with a cervicogram were compared with the histopathologic diagnosis. Among 294 women, the Pap test was negative in 130 cases and positive in 164 cases. Among patients with positive Pap test, cervicogram were negative in 101 cases (61.6%) and positive in 63 cases (38.4%). The diagnostic accuracy between cervicogram with positive Pap test and histology was as follows; sensitivity 44.9%, specificity 78.3%, positive predictive value 84.1%, negative predictive value 32.7%, false positive rate 15.9%, and false negative rate 67.3%. Although the adjunctive use of cervicogram with the Pap test in the initial screening of cervical neoplasia showed a higher specificity and higher positive predictive value compared to the Pap test alone, consideration in terms of lower sensitivity, lower positive predictive value, higher false positive rate and cost-effectiveness should be given in lieu of clinically applying cervicogram with the pap test as an initial screening test.
