The diagnosis of uterine cervical polyps in a low resource setting: the positive predictive value of clinical judgment – a series of 192 cases at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon

As far as we know, the accuracy of clinical judgment in diagnosing uterine cervical polyps has not been assessed in sub-Saharan Africa. Our objective was to discover the positive predictive value (PPV) of clinical judgment in the diagnosis of cervical polyps. This is a retrospective descriptive stud...

Full description

Saved in:
Bibliographic Details
Published in:Tropical doctor 2013-04, Vol.43 (2), p.54-56
Main Authors: Foumane, Pascal, Sando, Zacharie, Dohbit, Julius Sama, Bilo’o, Lydienne Lesly, Mboudou, Emile Telesphore, Oyono, Jean Louis Essame
Format: Article
Language:English
Subjects:
Adult
Cameroon
Child
Clinical Competence
Developing Countries
Female
Humans
Middle Aged
Polyps - diagnosis
Polyps - pathology
Precancerous Conditions - diagnosis
Precancerous Conditions - pathology
Predictive Value of Tests
Retrospective Studies
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - pathology
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:As far as we know, the accuracy of clinical judgment in diagnosing uterine cervical polyps has not been assessed in sub-Saharan Africa. Our objective was to discover the positive predictive value (PPV) of clinical judgment in the diagnosis of cervical polyps. This is a retrospective descriptive study of 192 patients, carried out by the Departments of Pathology and Gynaecology of the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon. The diagnosis of cervical polyp was confirmed by histopathology examination in 169 patients, giving a PPV rate of 88.0%. The PPV of clinical judgment in the diagnosis of cervical polyps is acceptable in our setting but the frequency of premalignant and malignant lesions encountered is too high (10.4%), even in the presence of a confirmed cervical polyp (8.9%). Even in areas where there are limited resources, we recommend a systematic histopathology examination of any clinically suspected cervical polyp.
ISSN:0049-4755
1758-1133
DOI:10.1177/0049475513486783