Cadernos de Saúde Pública
On-line version ISSN 1678-4464
Print version ISSN 0102-311X
FRANCO, Eugênio Santana et al. Digital cervicography criteria: improving sensitivity in uterine cervical cancer diagnosis. Cad. Saúde Pública [online]. 2008, vol.24, n.11, pp.2653-2660. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2008001100020.
This study aimed to validate the scoring criteria for digital cervicography. The study enrolled 300 women submitted to a clinical protocol using cytological examination alone, digital cervicography without image magnification (Evaluation 1), and digital cervicography plus additional image magnification and considering the positive criteria (Evaluation 2). Women's mean age was 27.6 years. Positive criteria for digital cervicography were identified in 111 positive cases with pre-cancerous cervical lesions (100%) and in 8 cases classified as false positives (2.6%). Evaluations 1 and 2 classified the tests as positive (163; 54.3%) and suspected (146; 48.6%), respectively. According to the findings, digital cervicography was more sensitive (99.1%) and cytology more specific (100%). Digital cervicography sensitivity increased by 4.5 times when the positive criteria were applied as compared to cytology alone, besides involving low cost, thus suggesting that it is a viable technique.
Keywords : Cervical Intraepithelial Neoplasia; Colposcopy; Women's Health.