Profile of utero-cervical lesions in peri- & post-menopausal women in Kumaon Region of Uttarakhand: An Institutional study
Journal Title: International Journal Of Medical Science And Clinical Invention - Year 2017, Vol 4, Issue 4
Abstract
INTRODUCTION PAP smear is an important tool which compliment histopathology in detection of various cervical lesions. Since last few decades, it is becoming easy and cost-effective way for early detection of pre-cancerous and cancerous cervical lesions. AIMS/OBJECTIVES: The objective of this study is to evaluate the utero-cervical lesions in peri- & post-menopausal age group by Pap smear method; to study the distribution of cervical lesions and to correlate cytology with histopathology wherever available. MATERIALS AND METHODS: The study was conducted at pathology department of GMC, HALDWANI. It comprised of 324 cases of PAP smear of women with complaints pertaining to cervix over a period of two years. . PAP smear results were reported according to 'The Bethesda system' (TBS), followed by cervical biopsy and surgically resected specimens, wherever available. RESULTS: Total 324 cases were evaluated on pap smear cytology. The most of the cases comprised of peri and post menopausal age group (141women,43.52%) while only 16 women (4.96%) are over 65 years. Most common symptom was lower abdominal pain (100 cases; 30.87%). The cervical lesions were categorized as: 14 (4.32%) cases unsatisfactory, 231 (71.30%) cases benign /inflammatory, 60 (18.52%) cases normal, 15 (4.63%) cases of pre-malignant and 4 (1.23%) cases of malignant category. On histopathological examination, maximum 59 (68.61%) cases were inflammatory, 7 (8.14%) cases were pre-malignant and 20 (23.25%) cases were malignant. CONCLUSION: Our study concluded that the pap smear examination is a useful technique to find the cause of cervical lesions. It is easy to perform, minimally invasive, outdoor procedure that gives quick results and should be followed at all the centers.
Authors and Affiliations
Ajay Pratap , Usha Joshi*, N. Thapliyal, Prabhat Pant
Keywords
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