Acuration of Visual Inspection on Asetat Acid in Low Squamous Intraepithelial Lesion Compared With Colposcopy in Gynecology Polyclinic Of Dr. M. Djamil General Hospital

Vera Nirmala, Desmiwarti Desmiwarti, Hafni Bachtiar


LSIL is a low grade cervical cancer prelesion, which through prompt diagnosis and therapy, could reduce cervical cancer incidence to 90% and reducing mortality rate for 70-80%. Colposcopy will speed up diagnosis of cervical precancer lesions thus gaining prompt management, and beneficial for patients from afar. Combination of Pap’s smear, colposcopy and biopsy is a good diagnostic package to perform in medical practice. This study was conducted using statistics diagnostic test with cross-sectional design. This research was carried out among women diagnosed with LSIL (Pap’s smear) which then colposcopy was performed in Gynaecology Clinic in Dr.M.Djamil Hospital Padang, during July to December 2014. The study was performed to determine the definitive diagnosis of LSIL (Pap’s smear). Total number of women included in this study were 70, which were divided into 2 groups: 35 women in VIA positive group and 35 in VIA negative group and statistical anal- ysis was performed using unpaired t test and chi square in SPSS 18.0 for windows. From statistical analysis using chi-square test, obtained a statistical significance between VIA test and colposcopy, it can be seen from the p-value 0.002 (p <0.05). There is a statistical significance between VIA test and colposcopy.

Keywords: VIA, colposcopy, LSIL, biopsy

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Nuranna L. Penanggulangan Kanker Serviks yang sahih dan handal dengan model Proaktif-VO (Proaktif, Koordinatif dengan skrining IVA dan Treapi Krio): Disertasi. Program Studi

Doktor Ilmu Kedokteran Fakultas Kedokteran, universitas Indonesia Jakarta. 2005.

Nuranna L, Purwoto G, Madjid OA, dkk. Skrining kanker leher rahim dengan metode inspeksi visual dengan asam asetat (IVA). Health technology assessment Indonesia. Departtemen Kesehatan Republik Indonesia. 2008.

Berek and Novak’s Gynecology. Cervical and Vaginal cancer. 2007; Page 2100- 2172.

Dunton CJ. New Technology in Papaniculaou Smear Processing. Clin Obstet and Gynecol. 2000; 43: 410-17.

Phongnarisorn C, Srmsomboom J, Siri Angkuli S, Khunamornpong S, Suprasert P, Charoenkwan K, Cheewakriangkrai C, et al. Women in region with high incidence of cervical cancer warrant immediate colposcopy for low grade squamous intraepithelial lesion on cervical cytology. Int J gynecol Cancer. 2006; 16: 1565-8.

Sapto Wiyono, T.Mirza Iskandar, Suprijono. Inspeksi Visual Asam Asetat

(IVA) untuk Deteksi Dini Lesi Prakanker Serviks. Artikel asli dalam M Med Indonesia. 2008. Vol 43, Nomor 3, halaman 116-121.

Parkin DM. Global cancer statistics in the year 2000. Lancet Oncol. 2001; 2:533-43.

Priyanto H dkk. Anatomi dan Histologi Serviks Uteri dalam Buku Acuan Kursus manajemen Lesi Prakanker Serviks. Bab V. 2007; 32-41.

Fairman A, Tan J, Quinn M. Women with low-grade abnormalities on Pap smear should be reffered for colposcopy. Australian and New Zealand Journal of Obstetrics and Gynecology 2004; 44:252-5.

Cox JT, Schiffman M, Solomon D. Prospective follow-up suggests similar risk of subsequent cervical intraepithelial neoplasia grade 2-3 among women with cervical intraepithelial neoplasia grade1 or negative colposcopy and directed biopsy. Am J Obstet Gynecol. 2003; 188[6]:1406- 12.

Andrijono. Kanker Serviks. Divisi Onkologi Departemen Obstetri- Ginekologi Fakultas Kedokteran Universitas Indonesia. Edisi ke- 4. 2012.



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