الفهرس 
HUMAN PAPILLOMAVIRUSESOnly 14 pages are availabe for public view
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Abstract
The mean age of the participants was 38 years with SD ±10.5, most of them (78.1%) were housewives with high percentage (28%) of illiteracy. 88.8% had only one marriage and 44.27% had their first marriage before the age of 20.
Only 82 (3.7%) reported smoking (cigarette and/or shesha) but this may be under-reported due to the stigma of smoking among females in the Egyptian population.
448 of the 2215 (20%) were positive by DART, 61(2.7%) were positive by pap smear.116 biopsies showed visible lesions by histology, of them 111 showed LGSIL, and 5 showed HGSIL. DART detected 114 of 116 with sensitivity 98.28%. Pap smear detected 10 0f the 116 with sensitivity 8.62%.
Cervical digital photography for screening of uterine cervix cancer and its precursor lesions in developing countries of its advantages is that it allows for having a visual record of the patients condition of the cervix, it allows also for having a second opinion about the patient’s condition, both of which are valuable in the decision making.
It’s inexpensive, simple method, can be performed by most categories of health workers, it doesn’t require laboratory unlike cytology or complicated equipments unlike HPV DNA testing. It can also be used for educational purposes and distant learning.
Of the disadvantages of this screening method is that it raises patients anxiety about having pre malignant lesions, as it detects more of the low grade lesions than the conventional cytology.
There is very few literature assessing the DART. In a study performed in rural Elsalvador the sensitivity of DART was 86%. The examiners performing the DART may be the reason behind this difference in sensitivity (Cremer et al., 2005).
Cervical digital photography is a promising method in cervical cancer screening either as a primary tool or in co-testing, especially in developing countries where the infrastructure and public health awareness regarding screening are defective.