Cytology Versus Colposcopy for Diagnosis of Precancerous Lesions of Cervix

Background: Cervical cancer presents as major cause of morbidity and mortality especially in developing countries like India. Various screening programs are implemented for its early detection and treatment, which makes it imperative to have a reliable screening investigation for wider application. Objective : TO evaluate the role of Liquid base cytology and Colposcopy and compare their efficacy for diagnosis of preinvasive cervical lesions. Material and Methods : This hospital based prospective study was conducted in SMS Medical College, Jaipur in 35 patients from 2013 to 2014. All patient subjected to liquid based cytology and colposcopy. The sensitivity, specificity, and accuracy were calculated for liquid base cytology and colposcopy. Results : Sensitivity of liquid base cytology 87% and , specificity was 70% while sensitivity of colposcopy was 86.36%% and specificity was 46.66%. liquid base cytology use as screening method has higher chance of detecting precancerous lesions. Conclusion :Liquid base cytology is useful as better screening method in compare with colposcopy detecting premalignant and malignant lesions of the cervix.