Success of endoscopy with narrow band imaging in diagnosis of cervical metaplasia

Background

Flexible magnifying endoscopy with narrow band imaging (ME-NBI) has outstanding diagnostic correctness for gastrointestinal metaplasia and is hope for to be highly useful for diagnosis cervical metaplasia in this study aiming to detect the feature findings and access the diagnostic power of ME-NBI for diagnosis of cervical metaplasia

Method

20 women were undergoing vaginal smear and at the same time Flexible NBI-ME was performed. After that Written consent was obtained from all patients vaginal examination were done. Cusco speculum is used to examine a cervix by endoscopy using white light imaging, and. Narrow band image at long, middle, and short distances Images and video of ME-NBI were taken to investigate the cervical lesions. The images were analysis built on cytology result.

Results

The NBI-ME images revealed the following abnormal findings Tongue-like projections of the epithelium, nabothian follicles, gland ostium, met aplastic cells with special features Transformation zone both type, normal vascularity Of cervix and change shape of all types of epithelial cells, cell nuclear density &thickness Of epithelium If you know how to diagnose squamous metaplasia 50 percent of correct diagnosis of cervical lesion Will be able to be diagnosed

Conclusion

This study indicates that ME-NBI may have novel value for metaplasia diagnosis without use of acetoacetic acid or Lugol's iodine

Author(s): Salwa samir Anter Cairo University

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