The efficacy of modified Swede Colposcopic Index in prediction of high-grade lesion and cancer of cervix / 부인종양
Journal of Gynecologic Oncology
;
: e78-2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-764545
ABSTRACT
OBJECTIVE:
To evaluate the efficacy of modified Swede Colposcopic Index (MSCI) to predict high-grade lesion and cancer of cervix (CIN2+, cervical intraepithelial neoplasia grade 2 or worse) in women with abnormal cervical cytology who underwent a colposcopy.METHODS:
We conducted a retrospective study and MSCI using 5 features of cervical lesions evidenced from colposcopy acetouptake, margin and surface, vessels, lesion size, and location of lesion. Each feature was scored from cervicograhpic findings which transformation zone was completely seen. Odds ratio of each feature was obtained by logistic regression analysis. Receiver operating characteristic curve was used to assess the efficacy of summation score to predict CIN2+. An appropriate cut-off point score was assigned.RESULTS:
Two hundred and twenty women were included in the study. The assigned score for each factor in level 1 to 3 was 1, 2 and 3 points with a total score of 15 points. The most appropriate cut-off points score for MSCI to predict CIN2+ was 11 points. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy using MSCI were 82.2%, 96.2%, 96.0%, 85.0%, and 90.0% respectively.CONCLUSION:
MSCI showed a high efficacy for predicting CIN2+ in satisfactory colposcopy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Modelos Logísticos
/
Razão de Chances
/
Displasia do Colo do Útero
/
Neoplasias do Colo do Útero
/
Estudos Retrospectivos
/
Curva ROC
/
Sensibilidade e Especificidade
/
Colposcopia
/
Lesões Intraepiteliais Escamosas Cervicais
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Gynecologic Oncology
Ano de publicação:
2019
Tipo de documento:
Artigo
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