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TELECERVICOGRAPHY FOR CERVICAL CANCER SCREENING 10/18/2010 6:38:29 PM
Topic : Cervical Cancer

Title : TELECERVICOGRAPHJY FOR CERVICAL CANCER SCREENING

Author(s) : S.N. Kim, J.M. Bae, H.P. Lee, K.H. Nam, S.K. Lee

Institute(s) : Obstetrics and Gynecology, Konkuk University Medical School, Obstetrics and Gynecology, Soon Chun Hyang University Hospital, Obstetrics and Gynecology, Kyunghee University Hospital, Seoul, Republic of Korea

Text : The Papanicolaou smear is the standard screening tool for cervical intraepithelial neoplasia (CIN) and invasive vervical cancer(ICC). Hight false negative rates of Pap smear have been critized. Telecervicography has been recently developed as a remote cervical cancer screening test. The purpose of this study was to evaluate the performance of Telecervicography compared with cytology for the detection of CIN and ICC.
Cervical cytology and Telecervicography were performed on 3065 women at the Gynecological Cancer Clinic at Konkuk University Hospital between August 2005 and January 2010. Telecervicography was performed with a Telecervico(National Testing Laboratories, Seoul, Korea). Of 3065 women, 863 women were eligible for analysis. The mean age of the women was 48 years. Histologic evidence was obtained on all women. The sensitivity, specificity, likelihood ratio(LR), were compared to that of cytology. The sensitivity, specificity, and positive LR of the cytolgoic test were 57%(95% CI 51%-62%), 93%(95% CI 91%-95%), and 8.2%(95% CI 5.9-11.2), respectivity; for Telecervicography were 92%(95% CI 88%-95%), 87%( 95% CI 84%-89%), and 6.9(95% CI 5.6-8.5), respectively. When cytology test was performed in conjunction with Telecervicography, the sensitivity and specificity were 95%(95% CI 92%-97%) and 83%(95% CI 80%-86%), respectively.
The sensitivity of Telecervicography was higer in comparison with cytolgoy in the detection of CIN or ICC, as was the higher specificity for cytology. Two tests combined will increase the sensitivity, but the specificity remains low. Telecervicography can be consideered as a useful complimentary tool to cytology.

Conference : 13th Biennial Meeting of the International Gynecologic Cancer Society.
Abstract : A-214-0001-01035
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