Role of Pap Smear In Studying Prevalence of Epithelial Cell Lesions of Cervix In Different Age Groups In Tertiary Care Hospital.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 5
Abstract
Introduction: Cervical cancer is the leading cause of death in women in the developing countries. It is readily preventable, curable and can be diagnosed at pre-invasive stage with adequate and repetitive cytological screening with pap smears. Aims And Objectives: To study the role of pap smear in studying prevalence of inflammatory, pre-malignant and malignant lesions of cervix in different age groups. Materials and Methods: This study was conducted during the period of one year in which 1103 patients in age group 16-82 years with various complaints were screened. Smears obtained were fixed in 95% ethyl alcohol and stained with pap stain. Slides were reported according to Bethesda system. Results: Out of 1103 patients, 9 were excluded from study because of inadequate smears due to obscuring blood/inflammation, refusal by patient or uncooperative patients. Out of 1094 cases, 1024 patients(93.6%) were Negative for Intraepithelial Lesion or Malignancy (NILM), 38 cases(3.47%) showed Low Grade Squamous Intraepithelial Lesion (LSIL), 9 cases(0.82%) showed High Grade Squamous Intraepithelial Lesion (HSIL), 8 cases(0.73%) showed Atypical Squamous Cells of Undetermined Significance (ASCUS) and 15 cases(1.37%) were of Squamous cell carcinoma cervix. The most frequent epithelial cell abnormality was LSIL (38 cases, 1.37%) and most prevalent in the age group 41-60 years. 326 cases showed inflammatory changes due to bacterial vaginosis, candida and trichomonas. Conclusion: Pap smear is an effective and inexpensive screening tool for early detection of cytological abnormalities of the cervix.
Authors and Affiliations
Chaudhary Nitin
Keywords
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