A Record Based Study of 3 Years of Routine PAP smears Screening with Follow up of All Abnormal Reports with Colposcopy and Biopsy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 2
Abstract
Abstract: Cervical cancer is the most common preventable cancers. Pap smear is simple, safe, cost effective screening test for detection of precancerous, cancerous changes in cervix. Any abnormality detected in PAP smear has to be confirmed with cervical biopsy, which is the gold standard investigation. Aim and Objective: To study various types of cervical lesions detected on routine screening and classify cervical lesions into malignant & benign groups and to correlate the cytological findings with histopathological findings. This is a prospective cross sectional study done in between august 2014 and september 2017 at Subbaiah medical college and Hospital, shimoga. During the period, all PAP smear reports were analyzed cytological interpretation of smears was done according to Bethesda system, abnormal smears were subjected to colposcopic guided cervical biopsy for histopathological confirmation. Clinical data were obtained from requisition submitted along with the cytology and tissue specimens received in the department. During the study period, total 1980 pap smears were performed, total of which 130 abnormal pap smears were obtained. Among them 64 patients had colposcopic abnormalities and required cervical biopsy. Out of total 1980 number of cases, 68.50% were normal, 21.40% were inflammatory smears, 5.10% were LSIL, and 0.70% were high grade intraepithelial lesions (HSIL) 0.34% were unsatisfactory.0.55% were ASCUS, 0.15%were frank malignancy. Among patients who had cervical biopsy on histopathology, 32.8% had CINI (cervical intraepithelial neoplasia), 35.93% had CINII, and 7.81% had CINIII. 18.75% had frank malignancy. The mean age ± SD for carcinoma was 58.75±5.29. This study revealed a good correlation of cervical cytology with cervical biopsy. Pap is a cost effective screening method for early detection of premalignant and malignant cervical lesions.
Authors and Affiliations
Dr. Aarti, Rashmi L
Keywords
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