Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Comparative Analysis between Reid’s Colposcopic Index and Swede’s Score for Detection of Premalignant Lesions of Cervix: A Prospective Study
Tanya Mahindra, Surbhi Tiwari, Shikha and Siftie Banga
Page: 435-440 | Received 24 Dec 2023, Published online: 23 Jan 2024
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Abstract
Cervical carcinoma poses a significant threat to female health globally, with India bearing a substantial burden. Despite advancements in screening techniques, the sensitivity of traditional methods like Pap smears remains limited, particularly in resource‐constrained settings. Colposcopy, aided by scoring systems like Reid’s and Swede’s, offers promise in enhancing cervical cancer detection. A cohort of 200 sexually active women, presenting with symptoms suggestive of cervical abnormalities, underwent comprehensive assessment including Pap smears and colposcopy. Socio‐demographic characteristics were recorded and lesion sizes were measured during colposcopy. Biopsy findings were compared with colposcopic scores to assess diagnostic accuracy. The majority of participants were para 3 (44%) and illiterate (45%). Abnormal vaginal discharge was the predominant symptom (69%). Colposcopy revealed varying degrees of lesions, with Reid’s and Swede’s scores indicating increasing severity. Biopsy findings correlated positively with colposcopic scores, suggesting a strong association between scores and histopathological evidence. Both scoring systems demonstrated high sensitivity and specificity for detecting cervical intraepithelial neoplasia (CIN) lesions, with Swede’s score incorporating lesion size proving particularly effective. Reid and Swede's criteria correlated well with histology. This shows that the lesion's histology grade increases with the score. RCI and Swede's score detected CIN lesions with high sensitivity and specificity. Both scoring systems shown robust performance in this hospital‐based investigation, highlighting their adaptability and potential for extensive utilization. Swede's score reliably predicts high‐grade lesions by including lesion size.
How to cite this article:
Tanya Mahindra, Surbhi Tiwari, Shikha and Siftie Banga. Comparative Analysis between Reid’s Colposcopic Index and Swede’s Score for Detection of Premalignant Lesions of Cervix: A Prospective Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.435.440
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.435.440