A Retrospective Analysis of 1000 Cases of Cervical Pap Smears
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 2
Abstract
Introduction: Carcinoma of the cervix is the most common cancer of women in developing countries including Nepal. The Pap smear screening is an effective method for identifying intra epithelial lesions of cervix. Aims and Objectives: To determine the type and prevalence of abnormal cervical epithelial lesions in patients presenting with abnormal uterine bleeding at Patan Hospital. Materials and Methods: This is a retrospective study of all the cervical pap smear cases reported to the Department of pathology at Patan Hospital. The duration of study was dated from 1st May 2012 to 30th April 2014 and total 1,000 cases were enrolled for the study. Results: Most of the patients were in between 41-50 years (30%) followed by 51-60 years (28%) in age. Predominance of inflammatory smears was noticed in 894 (89.4%) cases. In this study, there were 106 (10.6%) cases of abnormal epithelial lesions out of which 27cases i.e. 2.7% were diagnosed as Atypical squamous epithelial cells of undetermined significance (ASCUS), 43(4.3%) cases were diagnosed as Low grade SIL and 29(2.9%) cases were found to be high grade SIL on Pap smear. In the present study, 7 cases (0.70%) were diagnosed as squamous cell carcinoma which is found to be maximum between 51-70 years of age. The commonest risk factors for squamous cell carcinoma in this study are early marriage, before the age of 20 years and low socioeconomic status. Conclusion: This study concludes that cervical Pap smear test is very helpful in early diagnosis of cervical cancer and it’s precursor lesions .It is a simple, safe, inexpensive and painless method for diagnosis of the precancerous lesions and carcinoma of cervix.
Authors and Affiliations
Sabina Shrestha
Keywords
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