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Clinical usefulness of cervicogram as a primary screening test for cervical neoplasia

Authors
 Young Tae Kim  ;  Jae Wook Kim  ;  Sung Hoon Kim  ;  Yu Ri Kim  ;  Jae Hoon Kim  ;  Bo Sung Yoon  ;  Yong Won Park 
Citation
 YONSEI MEDICAL JOURNAL, Vol.46(2) : 213-220, 2005 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2005
MeSH
Adult ; Aged ; Aged, 80 and over ; Cervix Uteri/pathology* ; Female ; Humans ; Mass Screening/methods* ; Middle Aged ; Photography/standards* ; Predictive Value of Tests ; Sensitivity and Specificity ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/pathology* ; Vaginal Smears
Keywords
Cervicogram ; primary screening test ; diagnostic accuracy ; the Pap test
Abstract
The purpose of this study is to evaluate the clinical usefulness of the cervicogram as a primary screening test for cervical neoplasia. A total of 294 women who had undergone a cervicogram and a Pap test between January and July 2003, were selected. The diagnostic accuracy of the Pap test, cervicogram, and the Pap test combined with a cervicogram were compared with the histopathologic diagnosis. Among 294 women, the Pap test was negative in 130 cases and positive in 164 cases. Among patients with positive Pap test, cervicogram were negative in 101 cases (61.6%) and positive in 63 cases (38.4%). The diagnostic accuracy between cervicogram with positive Pap test and histology was as follows; sensitivity 44.9%, specificity 78.3%, positive predictive value 84.1%, negative predictive value 32.7%, false positive rate 15.9%, and false negative rate 67.3%. Although the adjunctive use of cervicogram with the Pap test in the initial screening of cervical neoplasia showed a higher specificity and higher positive predictive value compared to the Pap test alone, consideration in terms of lower sensitivity, lower positive predictive value, higher false positive rate and cost-effectiveness should be given in lieu of clinically applying cervicogram with the pap test as an initial screening test.
Files in This Item:
T200500110.pdf Download
DOI
10.3349/ymj.2005.46.2.213
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Hoon(김성훈) ORCID logo https://orcid.org/0000-0002-1645-7473
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Kim, Jae Wook(김재욱)
Kim, Jae Hoon(김재훈) ORCID logo https://orcid.org/0000-0001-6599-7065
Park, Yong Won(박용원)
Yoon, Bo Sung(윤보성)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147368
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