Predictive Value of Swede Colposcopy Score for Predicting Cervical Premalignant and Malignant Lesions in Patients with Postcoital Bleeding

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Sherbin General Hospital, Ministry of Health, Egypt.

2 Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

Abstract

Background: Postcoital bleeding [PCB] is defined as any bleeding or spotting unrelated to menstruation that occurs during or after sexual intercourse. It is a relatively common complaint presenting to general practice, and can sometimes prove challenging to diagnose and manage, due to the number of conditions that can cause PCB.
Aim of the work: To investigate the value of using Visual Inspection with Acetic Acid [VIA] of cervix and the swede colposcopy score in cases with postcoital bleeding in detecting cervical premalignant lesions. Specifically, the study aims to assess the sensitivity, specificity, Positive Predictive Value [PPV], and Negative Predictive Value [NPV] of the swede colposcopy score in predicting premalignant lesions by correlating the colposcopic findings with histopathological results obtained through colposcopy-guided biopsies.
Patients and methods: This cross-sectional study was conducted at the Obstetrics and Gynecology department of Al Azhar University Hospitals, Damietta, Egypt. This study was conducted on 54 patients with postcoital bleeding. First, all were assessed in a standard protocol, followed by acetic acid 5.0% for visual inspection, calculation of Swede score and results were compared to the results of histopathology.
Results: There was highly statistically significant relation between histopathological result of biopsy and swede colposcopy score. At cutoff point ≥5, Swede score had sensitivity of 72.72% and specificity of 76.7% with highly significance for the detection of premalignant lesions.
Conclusion: The swede colposcopy score has significant predictive value for identifying cervical premalignant and malignant lesions in patients presenting with Postcoital Bleeding [PCB].

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