Evaluation of Cervix by Colposcopic Directed Histopathology: A Single Center Study

Background: The most common malignancy among women worldwide is cervical cancer. With the right screening, it is a disease that can be prevented and cured. Colposcopy is a useful method for identifying and treating precancerous cervical lesions after primary screening. The most reliable method for identifying precancerous lesions is histopathology. Objectives: Purpose of This study aims to evaluate the cervix by colposcopic directed histopathology in a tertiary care hospital. Methods: This Cross-sectional study was conducted among 67 patients from North east medical college and Hospital, Sylhet. The study was done for the period of “January 2022 to June 2023 “. Patients having the following complaints: positive visual inspection of the cervix (VIA + ve) with 3-5% acetic acid, post-coital bleeding, postmenopausal bleeding, and intermenstrual bleeding were recruited for the study. Written informed consent was obtained from the participants. Results: Out of the total cases, 23 (34.33%) had squamous cell carcinoma, 14 (20.89%) had LSIL, 11 (16.42%) had adenocarcinoma, 9 (13.43%) had HSIL, and 7 (10.45%) had cervical intraepithelial neoplasia. Adenosquamous was 4.48% in 3 instances. Conclusion: The colposcopic guided histological investigation found squamous cell carcinoma to be the most common cervical neoplasia in this study. Afterwards, a large proportion of cases are attributed to LSIL, adenocarcinoma, HSIL, CIN, and adenosquamous carcinoma.