Background: Cervical cancer is a major contributor to mortality and morbidity among women in low- and middle-income countries. Unlike other cancers, cervical cancer is preceded by a spectrum of cytomorphological changes called cervical intraepithelial neoplasia (CIN) for many years before developing into a frank malignancy.
Objective: We aimed to detect the accuracy of naked eye (NE) visual inspection in early detection of cervical intraepithelial neoplasia.
Patients and Methods: This cross sectional studywas conducted atObstetrics and Gynecology Outpatients Clinic and Pathology Department, Zagazig University Hospitals on 206 patients during the period from January 2021 to June 2021. Results: About 81% of patients had normal appearance cervix on NE examination. Visual naked eye inspection with acetic acid staining was negative in 41.3%, low threshold positive in 36.4% and high threshold positive occurred in 22.3%. There was significant association between presence or intensity of visual inspection with acetic acid (VIA) and nature of lesion. Within normal/benign lesion, 49.1%, 39.3% and 11.7% had negative, low threshold positive and high threshold positive respectively. Within CIN-1, 42.9%, 14.3% and 42.9% had negative, low threshold positive and high threshold positive respectively. Within CIN-2, 50% and 50% had low threshold positive and high threshold positive respectively. Within CIN -3, 35.7% and 64.3% had low threshold positive and high threshold positive respectively. Conclusion: Visual inspection with acetic acid (VIA) can be used as cervical cancer screening test especially in low-resource settings.