Critérios de positividade para cervicografia digital: melhorando a sensibilidade do diagnóstico do câncer cervical

• Autor(a) principal: Franco, Eugênio Santana
• Data de Publicação: 2008
• Outros Autores: 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
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3654
• topic: Neoplasia Intra-epitelial Cervical; Colposcopia; Saúde da Mulher

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.