Obstetrics & Gynaecology · Cervical Carcinoma (Risk Factors, Staging, Treatment)

According to the National Cancer Grid India guidelines 2022, the recommended cervical cancer screening interval using VIA (Visual Inspection with Acetic Acid) in resource-limited settings is:

  • A Annually from age 25
  • B Once in a lifetime at age 35 and 45
  • C Every 5 years from age 30 to 60
  • D Every 3 years from age 21 to 65
Correct answer: B. Once in a lifetime at age 35 and 45

Explanation

WHO and India's National Cancer Grid recommend a simplified approach for low-resource settings: VIA screening once at age 35 and once at age 45 (screen-and-treat strategy). This 'once-or-twice-in-a-lifetime' approach significantly reduces cervical cancer mortality with minimal infrastructure requirements. Annual or 3-yearly screening requires laboratory infrastructure (Pap/HPV) more suited to higher-resource settings.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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