Comparison and Correlation of Cytology, Colposcopy and Histopathology of Premalignant Lesions of Cervix In Rural Women of Barabanki District
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Aims and Objective: (1)To record the colposcopic and cytological findings of the cases and to compare it with each other in detecting premalignant lesions of cervix taking histopathology as gold standard.(2)To correlate the findings of cytology and colposcopy with histopathology in detecting premalignant lesions of cervix. Materials and Methods: This was a hospital based cross-sectional study conducted at HIMS,Barabanki.The study period was of one year.The study included pap smear samples,colposcopy reports and colposcopy guided cervical biopsy samples of 208 sexually active rural female patients of reproductive age group. Results: Majority of the women were between 31-40 years(59.6%).On PAP smear,ASC-US was found in 5.8% of women,ASC-H in 1.4% of women,LSIL in 6.7% of women and HSIL in 6.2% of women.On colposcopy,LSIL was seen in 26.4% of women and HSIL in 17.8% of women.On histopathological examination,CIN I was seen in 16.8% of women followed by CIN II(8.2%)and CIN III(5.8%).Sensitivity and specificity of PAP smear was 29.7% and 94.4%.Sensitivity and specificity of colposcopy was 85.9% and 74.3%. Conclusion: Pap smear had a poor sensitivity compared to colposcopy but a better specificity than colposcopy.Hence,it may be better to utilise both tests in screening of premalignant lesions of cervix as they complement each other.
Authors and Affiliations
Dr. Shashwat Vidyadhar, Dr. Aarti B. Bhattacharya, Dr. Sangita Bohara, Dr. A. D. Dwivedi, Dr. Anjana Agarwal, Dr. Deepti Gangwar
Keywords
Related Articles
- EP ID EP594660
- DOI 10.9790/0853-1604061318.
- Views 63
- Downloads 0
Migraine in Patients with Epilepsy
Background: Migraine and epilepsy are common neurological disorder originating from cerebral cortex. Searching for the association between these two diseases can give clue about possible common etiology and also emphasiz...
A Cross Sectional Study To Assess The Chlamydial Infection Amongst The Women In Reproductive Age Group Presenting With Vaginal Discharge
Chlamydia trachomatis has currently emerged as one of the most common sexually transmitted pathogen. C. trachomatis infection in the genital tract is a common cause of urethritis, epididymitis, mucopurulent cervicitis, p...
Anti tubercular treatment (ATT) induced optic nerve changes: An observational study
Tuberculosis is the most common cause of infectious disease-related mortality worldwide. Ethambutol and isoniazid (INH) are synthetic first-line agents of the anti-tubercular treatment (ATT) against Mycobacterium tubercu...
A Comparative Study of Surgical Management of Primary Pterygium.
To study the rate of recurrence of pterygium and compare different surgical modes of treatment for primary pterygium.
Stiffness after Total Elbow Arthroplasty, What Is the Ideal Method of Release, A Comparative Study between Manipulation under Anasthesia and Arthrolysis.
Total Elbow Replacement (TER) is considered as the ultimate salvage operation to recreate a functional Range of Motion (ROM) in a stiff elbow after malunited distal Humerus Fracture. Post TER stiffness is not uncommon. I...