Incremento de la detección de lesiones cervicales mediante inspección visual. Puerto Esperanza. 2008

visual examination of cervix using acetic acid up to 4-5% (via) and lugol's solution (vili) contribute to detect lesions. this constitutes the first report of their use in cuba. objective: to demonstrate the detection increase of pre-malignant and malignant cervical lesions by means of visual examination in primary health care. method: control-case studies in puerto esperanza, vi？ales municipality in 2008. target group: women from 15 to 64 years old who practice penetrating sexual relations. sample: women who underwent visual examinations and altered cytology (n1= 18 cases) or not (n2= 178 controls). in cervix pathology office, colposcopies either by directed biopsy or conization with diathermal ansa were practiced; calculating absolute and relative percentage frequencies and the probability to detect lesions by isolated tests or in set, together with the tests of diagnostic performance. results: via and vili were positive in 92.9% and 79.6%, respectively. the joint probability of presenting lesions was 0. 7395. those showing altered cytology (88.9%) had positive via and 77, 9% positive vili. colposcopy resulted positive in 70.9% and the probability of having a lesion, proved by visual examination, simultaneously with colposcopy was 0.516. biopsies performed to 136 women were useful (99.3%), out of them, almost 50% presented pre-malignant and malignant lesions. yield tests were superior to via and vili than to cytology. non-invasive cancer was detected; however in situ carcinoma was. conclusion: visual examination increased the number of diagnosis 4 times, thus its use must be generalized.