A Retrospective Study of Thousand PAP Smears at Tertiary Care Center
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: Cervical cancer is the most common cancer among women, after breast cancer in the world. But in India and other developing countries cervical cancer is the leading cause of mortality and morbidity. Prevention involves screening with PAP smear for precancerous lesions and treating them. Material and methods: This is retrospective study done on consecutive PAP smears of 1000 women, who attended the Obstetrics and Gynecology department in a Tertiary Care Hospital from 1/10/2016 to 31/10/2017. Results: Majority of PAP smears were normal (58.3%) Next commonest pattern was inflammatory (33.6%). Infections were noted in 69 smears constituting 6.9%. Epithelial cells abnormalities like ASCUS, LSIL, HSIL, SCC seen in 12 smears constituting 1.2%. Among them ASCUS noted in 6 cases (0.6%) low grade squamous intraepithelial lesions (LSIL) in 2 cases (0.2%), high grade squamous intraepithelial lesion (HSIL) in 3 cases (0.3%) invasive squamous cell carcinoma is reported in only one patient (0.1%) Conclusion: PAP smear is the best possible available screening test for early detection of pre-cancerous lesions of cervix in the population of developing countries like India. Mass screening with PAP smear should reach out to women in rural areas with poor socioeconomic background. Although PAP smears are recommended to perform extensively to screen for cervical cancer, the preventive power of PAP smear lies in regular serial screening.
Authors and Affiliations
K. Sarala, Y. Nalini, Prathyusha Y, Sandhya G
Keywords
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