Publication: Digital cervicography by simply portable device as an alternative test for cervical cancer screening in rural area of Thailand
Issued Date
2018-04-01
Resource Type
ISSN
2476762X
15137368
15137368
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2-s2.0-85045831891
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Mahidol University
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SCOPUS
Bibliographic Citation
Asian Pacific Journal of Cancer Prevention. Vol.19, No.4 (2018), 1145-1149
Suggested Citation
Nissana Singhakum, Somsak Laiwejpithaya, Pattama Chaopotong Digital cervicography by simply portable device as an alternative test for cervical cancer screening in rural area of Thailand. Asian Pacific Journal of Cancer Prevention. Vol.19, No.4 (2018), 1145-1149. doi:10.22034/APJCP.2018.19.4.1145 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/45194
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Title
Digital cervicography by simply portable device as an alternative test for cervical cancer screening in rural area of Thailand
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Abstract
© 2017, Asian Pacific Organization for Cancer Prevention. Objective: Various screening methods for cervical cancer are proved to be effective in reducing such type of cancer. We aims to introduce a new portable device as an alternative method for cervical cancer screening. The performance of device was tested on the assessment of cervical lesions using cervicograph score with the cervical cytology. Methods: 325 non-pregnant women were tested from March 2013 to August 2015. The cervical and vaginal cells from the sample were collected for cytology, then all of them received the digital cervicography conducted with our new device and scored using cervicograph score. Small pieces of cervical tissues were also collected for histologic examination. SPSS software version 18.0 was used for the statistical analysis. Results: We grouped cytology results and cervicograph scores to 2 subgroups, ≤ ASC-US and ≥ LSIL, and 0-3 points and 4-6 points, respectively. The data then correlated with histology results which sub-grouped to ≤ CIN 1 and ≥ CIN 2. The accuracy, sensitivity, specificity, and positive predictive value (PPV) of cervicograph scores 4-6 points to detect CIN 2+ were 92%, 72.41%, 97%, and 84%, respectively which were not inferior to Pap smear did. Conclusion: The digital cervicography device provides similar accuracy to Pap cytology screening and is suitable to use in the area that lacks cytoscreeners. Large scale use and generalization are required for this new device.