Atypical Squamous Cell of Unknown Significance (ASCUS) in Pap Smears: A Study from Rural Based Hospital
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Introduction: Foul smelling discharge or whitish discharge per vaginum in the reproductive age females is the most leading cause of Pap smear examination. Pap smear examination of different patient (on both outpatient as well as inpatient) reveals a significant spectrum of abnormality associated with the diagnosis of the disease process. The aim of this study to find out the prevalence of ASCUS which is the most common significant abnormality found out in Pap smear examination of gynecological patients in a rural based hospital. As hygiene plays a major role in the abnormal pap smears in the studied population, hence the study is conducted on rural basis. Methods: More than 1500 odd (Exact 1530) Pap smears were examined prospectively in the Department of Pathology. The slides are stained by Pap stain and then after proper documentation were sent for interpretation. Results: Out of 1530 smears examined, 65 (4.2%) slides are rejected to be included in the study because of mismatch diagnosis by different authors. 166 (17.2%) are excluded due to unsatisfactory nature. Total atypical smears includes 90 smears of which 48 were positive for ASCUS,14 positive for LSIL,13 positive for HSIL and 02 each for ASCH,AGC-NOS,SCC./ADENO. Conclusion: The present study highlights the importance of pap smear examination in a rural population, as the above selected study group is more subjected to the present unhygienic condition and on examination reveals the various causes of abnormal pap smears. The various outcomes of the present study includes interrelationship of disease process in the different age groups, different disease process and others.
Authors and Affiliations
Rajeev Verma, Hemant Kumar, Deepali Gupta, Ankita Baghel, Suhail Ur Rehmann
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