Abstract: Objective: To explore feasibilities of visual inspection with acetic acid （VIA） and Lugol’s iodine （VILI） in screening for cervical cancer and precancerous lesions, and to find appropriate screening methods for cervical cancer as well as precancerous lesions in low resource areas in order to achieve early diagnose and early cure it, and to reduce incidence and mortality of cervical cancer eventually. Methods: In Dagang District of Tianjin, cervical cancer and precancerous lesions screening was done in 2 003 women. After consented and investigated using questionnaire （including knowledge of cancers and risk factors of cervical cancer）, they were examined by VIA and VILI and women who had positive results have received colposcopy. Women who had abnormal results by colposcopy have received biopsy and pathological diagnosis eventually. Results: 257 women were positive by VIA, and 265 were positive totally by VIA or VILI. These abnormal women received colposcopy, 197 cases of them showed abnormal in colposcopy and received biopsy. The pathological results showed that 7.04 percent of all the 2 003 women had cervical intraepithelial neoplasia.There were 116 cases had CINⅠ, 14 had CINⅡ, 11 had CINⅢ. Conclusion: VIA and VILI done by well trained doctors is a feasible screening method especially in the undeveloped areas. It will help to reduce the incidence and mortality of cervical cancer.

Key words: Cervical cancer, Precancerous lesion, Screening, Visual inspection