Cadernos de saude publica · 2008
[Digital cervicography criteria: improving sensitivity in uterine cervical cancer diagnosis].
СтатьяВалидационное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Franco Eugênio Santana, Hyppólito Silvia Bomfim, Franco Rosana Gomes de Freitas Menezes, Oriá Mônica Oliveira Batista, Almeida Paulo César de, Pagliuca Lorita Marlena Freitag, Rocha Nelson Fernando Pacheco da
Аннотация
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.