Role of Colposcopy in management of cervical erosion in rural population of eastern Bihar

The present study was undertaken to evaluate the role of colposcopy as a screening and diagnostic tool in women presenting with cervical erosion, to co-relate colposcopic findings with histopathology of cervical biopsy and to find out the outcome of different treatment modalities for cervical erosion. Methods: All the women included in the study were subjected to colposcopic examination. Colposcopic guided biopsy was taken in cases with abnormal colposcopic findings and the results were compared. Results: Fifty women in reproductive age diagnosed with cervical erosion were subjected to colposcopy and colposcopy guided biopsy, If any abnormal findings were seen. On colposcopy 68% revealed normal findings and 30% revealed abnormalities like acetowhite areas, abnormal vascular patterns, mosaic and puctuations and iodine negative areas. When the colposcopic findings were subjected to Copplesons Grading -3 cases were in grade I, 8 cases in gradeII and 4 cases in grade lll. Histopathology of these 15 cases revealed CIN I and chronic cervicitis, cervical metaplasia with atypia in grade I, CIN II and chronic cervicitis in grade II and CIN III and invasive cancer in grade III colposcopic abnormalities. Among 50 cases of cervical erosions. 8 cases has CIN and 1 had invasive cancer. Mode of treatment: 1. Premalignant- Cryotherapy or Hysterectomy 2. Invasive – Radical Hysterectomy Conclusion: Colposcopy and histopathology are complementary in diagnosis and management of cervical erosions.