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A score ≥ 8 had a specificity of 90% for high grade lesion thus “See & Treat” was advised at this score.They recommended biopsy to be reserved for score 5-7. Nessa et al [16] evaluated cervical lesions in women with abnormal VIA findings using Swede score by Gynocular and colposcope in 540 VIA positive women. A cut-off value of >5 by the colposcope had a sensitivity of 83.3% and specificity of 24.2%; Score ≥ 8 had sensitivity and specificity of 40% and 87.9% respectively and was highly correlative with CIN2+ and thus could serve as the cut off score for excisional method. They recommended cut off Swede score of ≥4 for biopsy. Pimple et al [19] tried to evaluate the performance of colposcopy in estimating the presence and grade of cervical disease v/s conventional cytology as a secondary modality to triage women found positive on VIA test. Colposcopic diagnosis and grading was done based on Reid’s score and punch biopsies were taken from the worst of any abnormal areas. Aposta do bicho online.Caneca Porcelana -Friends - 350ml - 10024114.
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