Evaluation of Effectiveness of Cervicovaginal Smear Examination in Detection of Precancerous Cervical Lesions and in Screening of Cervical Cancer
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Cervical cancer is second most common cancer among female in India and is leading cause of death as well. In early stage of disease (precancerous stage) only mucosal lining of cervix is involved. At this stage, the lesion can be detected by cervicovaginal smear examination that is commonly known as pap smear examination. Detection of lesion in precancerous stage is highly beneficial to patients because disease is almost curable at this stage. Cervical cancers that diagnosed in advanced stage, by this time most of the cancers have already spread in body. Now, it becomes almost incurable or has less chances of to be cured. Aim of present study was to evaluate the cervicovaginal smear examination in detection of precancerous cervical lesion. Material and methods: The present study was carried out over a period of 1 year during July 2012 to June 2013 at Index medical college and hospital, and research centre Indore. Total 210 cervicovaginal smears were collected during study period. Results: In the present study of 210 cases of cervicovaginal smear, the age of patients ranged from 20 to 50 years. The maximum numbers of cases were found in the age group of 30-39 years, comprising 78 cases (37.2%). Most of the patients were present with complaints of white discharge per vagina (77.14%), followed by pelvic pain (11.43%) and intermenstrual bleeding (7.14%). On cytology, 87 (41.42%) cases were negative for intra-epithelial lesion or malignancy while 99 (47.14%) cases were positive, out of which 03 (01.42%) cases were diagnosed as malignancy. Conclusion Cervicovaginal (pap) smear is an effective diagnostic tool for initial assessment of cervix to detect precancerous as well as inflammatory cervical lesions and in screening of cervical carcinoma.
Authors and Affiliations
Gaurav Agrawal, Jagannath Jatav
Keywords
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