Is Cervical Cancer Incidence Decreasing in the Urban Population of India with Developing Healthcare, Socio Demographic Progress and Awareness Programmes?
Journal Title: Indian Journal of Pathology: Research and Practice - Year 2018, Vol 7, Issue 6
Abstract
Context: Last few decades saw rapid decline of cervical cancer worldwide. However, 75% of the new cases are reported to occur in developing countries due lack of awareness among the female population. Aims: This study was conducted to determine the prevalence of cervical carcinoma in the urban female population and to evaluate the clinical findings, assess the sociodemographic and risk factors associated with unhealthy cervix in the study group. Settings and Design: This was a descriptive study carried out in KPC medical college Kolkata from December 2014 to December 2017 Methods and Material: Pap smear screening was done on 328 patients presenting with unhealthy cervix, out of which biopsy was obtained from 172 patients. Risk factors, clinical findings and knowledge about awareness programs were taken into consideration. The cytological results were correlated with the clinical findings and compared with the biopsy results. Results: A total of 19.2% patients presented with epithelial cell abnormality in unhealthy cervical smears. Early age at marriage, multiparity , use of contraceptives and age at first sexual intercourse were 76.4%, 32.2%, 28.3% and 69.9%. Awareness about cause, symptoms, pap test was 5.6%, 6.7% and 6.3%. Risk factors and clinical findings like unhealthy cervix with discharge, erosion and congestion showed significant association (p=0.05%) with cancer. Pap smear of unhealthy cervix showed 73.4% sensitivity and 84.3% accuracy with biopsy. Conclusions: Thus in developing countries implementation of more rigorous screening programs and spread of awareness about unhealthy cervix should help bring down the rate of cervical cancer.
Authors and Affiliations
Sujata Mallick
Keywords
Related Articles
- EP ID EP524306
- DOI 10.21088/ijprp.2278.148X.7618.14
- Views 79
- Downloads 0
Association of Tumour Infiltrating Lymphocytes With Conventional Clinicopathological Prognostic Factors of Breast Cancer
Morphological evaluation of tumor-infiltrating lymphocytes (TIL) is gaining importance as evidence strengthens its clinical relevance as immunological biomarker, in breast cancers. The significance of TIL also lies in th...
Clinicohematological Review of Dengue Cases in Thrombocytopenia of Infants and Children
Background: Dengue fever is a major public health issue forming a burden of monsoon related illness. There is a need to study the clinical features and laboratory investigations to predict the severity of dengue fever fo...
A Case Report on Primary Fallopian Tube Carcinoma: An Incidental Diagnosis in a Case Operated for Leiomyoma
Primary Fallopian tube carcinomas are very rare in incidence. They occur in a wide range of age group ranging from 17 to 88 years. The etiology of these tumours is unknown. Sometimes the tumour presents clinically like a...
Evaluation of Blood Donor Deferral Pattern in a Tertiary Care Teaching Hospital in North Karnataka
Background: The safety of blood and blood products is improved by stringent donor selection. Donor deferral, either temporarily or permanently is an important documentation towards safe blood transfusion. Thus it should...
Histopathological Study of Pleural Lesions
Introduction: Pleural diseases involve the parietal and visceral pleura and may be of either inflammatory or malignant origin. Pleural biopsy is recommended for the evaluation of inflammatory, infectious etiologies and m...