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Prevalence of cervical intraepithelial neoplasia (CIN) in patients attending Minia Maternity University Hospital

Background Cervical cancer is the second most common cancer of the genital tract. Wide use of screening programs can help in prevention of cervical cancer. Objective To screen and evaluate the prevalence of cervical intraepithelial neoplasia (CIN) by visualization of the cervix after application of...

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Published in:Archives of gynecology and obstetrics 2014-06, Vol.289 (6), p.1211-1217
Main Authors: Sanad, Ahmad Sameer, Kamel, Hani Hassan, Hasan, Momen Mohammed
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creator Sanad, Ahmad Sameer
Kamel, Hani Hassan
Hasan, Momen Mohammed
description Background Cervical cancer is the second most common cancer of the genital tract. Wide use of screening programs can help in prevention of cervical cancer. Objective To screen and evaluate the prevalence of cervical intraepithelial neoplasia (CIN) by visualization of the cervix after application of 5 % acetic acid (VIA) in Minia Maternity University Hospital. Patients and methods The study included 3,600 women from outpatient clinics of Minia Maternity University Hospital. They were screened for cervical cancer with the use of visual inspection of the cervix after application of 5 % acetic acid (VIA). Positive cases were subjected to colposcopy after referral to the colposcopy unit in the same hospital. Colposcopy-guided biopsies were done for colposcopic positive patients. One hundred and twenty women with negative VIA as control were randomly examined with colposcopy to evaluate the effectiveness of the test used, and no cases experienced cervical lesion. Results The prevalence was 5.8 % for cervical lesions, 1.4 % for HPV infection alone, 3.3, 0.84 and 0.27 % for CIN I, CIN II and CIN III, respectively. The prevalence of CIN II or higher was 1.11 % (40/3,600). Conclusions Prevalence of CIN in the study population was 138 out of 1,800 cases (7.7 %). Pre-invasive high-grade lesions represent 1.3 % in participant women. VIA can be used in national programs for cervical cancer screening.
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Wide use of screening programs can help in prevention of cervical cancer. Objective To screen and evaluate the prevalence of cervical intraepithelial neoplasia (CIN) by visualization of the cervix after application of 5 % acetic acid (VIA) in Minia Maternity University Hospital. Patients and methods The study included 3,600 women from outpatient clinics of Minia Maternity University Hospital. They were screened for cervical cancer with the use of visual inspection of the cervix after application of 5 % acetic acid (VIA). Positive cases were subjected to colposcopy after referral to the colposcopy unit in the same hospital. Colposcopy-guided biopsies were done for colposcopic positive patients. One hundred and twenty women with negative VIA as control were randomly examined with colposcopy to evaluate the effectiveness of the test used, and no cases experienced cervical lesion. Results The prevalence was 5.8 % for cervical lesions, 1.4 % for HPV infection alone, 3.3, 0.84 and 0.27 % for CIN I, CIN II and CIN III, respectively. The prevalence of CIN II or higher was 1.11 % (40/3,600). Conclusions Prevalence of CIN in the study population was 138 out of 1,800 cases (7.7 %). Pre-invasive high-grade lesions represent 1.3 % in participant women. VIA can be used in national programs for cervical cancer screening.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-013-3109-0</identifier><identifier>PMID: 24305750</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acetic Acid ; Adult ; Aged ; Biopsy, Needle ; Cervical cancer ; Cervical Intraepithelial Neoplasia - diagnosis ; Cervical Intraepithelial Neoplasia - epidemiology ; Colposcopy ; Cross-Sectional Studies ; Egypt - epidemiology ; Endocrinology ; Female ; General Gynecology ; Gynecology ; Helicobacter Infections - diagnosis ; Helicobacter Infections - epidemiology ; Helicobacter pylori ; Hospitals, Maternity ; Hospitals, University ; Human Genetics ; Human papillomavirus ; Humans ; Indicators and Reagents ; Medical screening ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Obstetrics/Perinatology/Midwifery ; Parity ; Pregnancy ; Prevalence ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - epidemiology ; Young Adult</subject><ispartof>Archives of gynecology and obstetrics, 2014-06, Vol.289 (6), p.1211-1217</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2013). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-29613c67955273fe01ed7cb052ff1a8901d3ee4e2c3985892b46037cf526f1ab3</citedby><cites>FETCH-LOGICAL-c405t-29613c67955273fe01ed7cb052ff1a8901d3ee4e2c3985892b46037cf526f1ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24305750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sanad, Ahmad Sameer</creatorcontrib><creatorcontrib>Kamel, Hani Hassan</creatorcontrib><creatorcontrib>Hasan, Momen Mohammed</creatorcontrib><title>Prevalence of cervical intraepithelial neoplasia (CIN) in patients attending Minia Maternity University Hospital</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Background Cervical cancer is the second most common cancer of the genital tract. Wide use of screening programs can help in prevention of cervical cancer. Objective To screen and evaluate the prevalence of cervical intraepithelial neoplasia (CIN) by visualization of the cervix after application of 5 % acetic acid (VIA) in Minia Maternity University Hospital. Patients and methods The study included 3,600 women from outpatient clinics of Minia Maternity University Hospital. They were screened for cervical cancer with the use of visual inspection of the cervix after application of 5 % acetic acid (VIA). Positive cases were subjected to colposcopy after referral to the colposcopy unit in the same hospital. Colposcopy-guided biopsies were done for colposcopic positive patients. One hundred and twenty women with negative VIA as control were randomly examined with colposcopy to evaluate the effectiveness of the test used, and no cases experienced cervical lesion. Results The prevalence was 5.8 % for cervical lesions, 1.4 % for HPV infection alone, 3.3, 0.84 and 0.27 % for CIN I, CIN II and CIN III, respectively. The prevalence of CIN II or higher was 1.11 % (40/3,600). Conclusions Prevalence of CIN in the study population was 138 out of 1,800 cases (7.7 %). Pre-invasive high-grade lesions represent 1.3 % in participant women. 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Public Health</subject><subject>Middle Aged</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Prevalence</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - epidemiology</subject><subject>Young Adult</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kcFOwzAMhiMEgjF4AC6oEpdxKDhJ27RHNAGbxIADO0dZ5o6gLi1JNmlvT6YNkJA42ZY__078E3JB4YYCiFsPkEGWAuUpp1ClcEB6NOMsBUHpIelBtc2hECfk1PsPAMrKsjgmJyzjkIsceqR7dbhWDVqNSVsnGt3aaNUkxgansDPhHRsTa4tt1yhvVDIYjp-vYz_pVDBog09UCGjnxi6SibGRmKiAzpqwSabWrNH5bTpqfVRTzRk5qlXj8Xwf-2T6cP82HKVPL4_j4d1TqjPIQ8qqgnJdiCrPmeA1AsW50DPIWV1TVVZA5xwxQ6Z5VeZlxWZZAVzoOmdFBGa8TwY73c61nyv0QS6N19g0Kn5l5SWNoOBQAIvo1R_0o105G18nGStoKcp4r0jRHaVd673DWnbOLJXbSApya4fc2SGjHXJrh4Q4c7lXXs2WOP-Z-L5_BNgO8LFlF-h-V_-v-gUwoJTI</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Sanad, Ahmad Sameer</creator><creator>Kamel, Hani Hassan</creator><creator>Hasan, Momen Mohammed</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>Prevalence of cervical intraepithelial neoplasia (CIN) in patients attending Minia Maternity University Hospital</title><author>Sanad, Ahmad Sameer ; Kamel, Hani Hassan ; Hasan, Momen Mohammed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-29613c67955273fe01ed7cb052ff1a8901d3ee4e2c3985892b46037cf526f1ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acetic Acid</topic><topic>Adult</topic><topic>Aged</topic><topic>Biopsy, Needle</topic><topic>Cervical cancer</topic><topic>Cervical Intraepithelial Neoplasia - diagnosis</topic><topic>Cervical Intraepithelial Neoplasia - epidemiology</topic><topic>Colposcopy</topic><topic>Cross-Sectional Studies</topic><topic>Egypt - epidemiology</topic><topic>Endocrinology</topic><topic>Female</topic><topic>General Gynecology</topic><topic>Gynecology</topic><topic>Helicobacter Infections - diagnosis</topic><topic>Helicobacter Infections - epidemiology</topic><topic>Helicobacter pylori</topic><topic>Hospitals, Maternity</topic><topic>Hospitals, University</topic><topic>Human Genetics</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Indicators and Reagents</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Prevalence</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sanad, Ahmad Sameer</creatorcontrib><creatorcontrib>Kamel, Hani Hassan</creatorcontrib><creatorcontrib>Hasan, Momen Mohammed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; 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Wide use of screening programs can help in prevention of cervical cancer. Objective To screen and evaluate the prevalence of cervical intraepithelial neoplasia (CIN) by visualization of the cervix after application of 5 % acetic acid (VIA) in Minia Maternity University Hospital. Patients and methods The study included 3,600 women from outpatient clinics of Minia Maternity University Hospital. They were screened for cervical cancer with the use of visual inspection of the cervix after application of 5 % acetic acid (VIA). Positive cases were subjected to colposcopy after referral to the colposcopy unit in the same hospital. Colposcopy-guided biopsies were done for colposcopic positive patients. One hundred and twenty women with negative VIA as control were randomly examined with colposcopy to evaluate the effectiveness of the test used, and no cases experienced cervical lesion. Results The prevalence was 5.8 % for cervical lesions, 1.4 % for HPV infection alone, 3.3, 0.84 and 0.27 % for CIN I, CIN II and CIN III, respectively. The prevalence of CIN II or higher was 1.11 % (40/3,600). Conclusions Prevalence of CIN in the study population was 138 out of 1,800 cases (7.7 %). Pre-invasive high-grade lesions represent 1.3 % in participant women. VIA can be used in national programs for cervical cancer screening.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24305750</pmid><doi>10.1007/s00404-013-3109-0</doi><tpages>7</tpages></addata></record>
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subjects Acetic Acid
Adult
Aged
Biopsy, Needle
Cervical cancer
Cervical Intraepithelial Neoplasia - diagnosis
Cervical Intraepithelial Neoplasia - epidemiology
Colposcopy
Cross-Sectional Studies
Egypt - epidemiology
Endocrinology
Female
General Gynecology
Gynecology
Helicobacter Infections - diagnosis
Helicobacter Infections - epidemiology
Helicobacter pylori
Hospitals, Maternity
Hospitals, University
Human Genetics
Human papillomavirus
Humans
Indicators and Reagents
Medical screening
Medicine
Medicine & Public Health
Middle Aged
Obstetrics/Perinatology/Midwifery
Parity
Pregnancy
Prevalence
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - epidemiology
Young Adult
title Prevalence of cervical intraepithelial neoplasia (CIN) in patients attending Minia Maternity University Hospital
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