Visual Inspection with Acetic Acid in Detection of Cervical Precancerous Lesions

  • Helmy A. Rady
  • Mahmoud E. Melies
Original Article



Cervical cancer is a common cause of death worldwide in women. Cytology-based screening programs have reduced cervical cancer in developed countries. Cervical cancer is a preventable disease due to the presence of long-standing preinvasive lesions.

Patients and Methods

The aim of the work was to assess the accuracy of VIA in detection of cervical preinvasive lesions in comparison with Papanicolaou smear. The study included 1004 women recruited from gynecology outpatient clinic at El Shatby Maternity University Hospital, VIA performed followed by Pap smear, and colposcopic-guided biopsy performed to women with positive VIA and Pap test


Of 1004 patients; 1000 only patients completed the work. Abnormal findings present only in 6% of women.


VIA is a good cheap and reliable test in detection of cervical precancerous lesions.


Pap test VIA Cancer cervix Cervical precancerous lesions Egypt Alexandria Shatby Cancer Malignancy Screening 



Special thanks to all staff that help me to complete this research, staff members of outpatient clinic at Shatby Maternity University Hospital, Egypt, staff members of pathology department at Shatby Hospital.


The research was sponsored by Alexandria medical school.

Authors’ Contribution

Helmy A. Rady is the main and corresponding author; the research is of his own idea, writing, collecting data and VIA and Pap test performing. Mahmoud E. Melies shares in collecting data and VIA performance.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Association of Gynecologic Oncologists of India 2017

Authors and Affiliations

  1. 1.Faculty of MedicineUniversity of AlexandriaAlexandriaEgypt
  2. 2.Elshatby maternity hospitaUniversity of AlexandrialAlexandriaEgypt

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