Screening for Cervical Cancer by Pap Smear: Our Experience at IGIMS, Patna
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2015, Vol 1, Issue 1
Abstract
Abstract : Cervical Cancer has a high incidence amongst Indian women. More than 70% of cancers in females occur at the age of 35-64 year, and these Cancers produce an adverse influence on the productive role of women in our society. Over 70% of female patients in India, report for diagnostic and treatment services at an advanced stage of disease, resulting in poor survival and high mortality rates. Objective : To estimate the sensitivity and specificity of conventional method i.e pap smear as primary screening for cervical intraepithelial neoplasia (CIN). Material and Method: Pap smear was done on 4957 women aged between 15 to 68 years in IGIMS form 2008-2014. Each women had at least four cervical biopsies (at 2, 4, 8, or 10 O’clock at the squamo columnar junction in each normal quadrant), after abnormal cytology report. Result: 190(3.81%) women were reported as ASCUS, 25(0.50%) as AGUS, 25(0.50%) women had biopsyproven as LSIL, 20(0.4%) as HSIL and 35(0.7%) had invasive cancer. Cytological inspection yielded normal results in 975 women (19.6%), inadequate cytology in 595 (11.99%), inflammatory cytology report in 2840(57.48%), atrophy 110(2.2%), metaplasia in 140(2.8%). Conclusion : Conventional cervical cytology is an efficient tool for cervical cancer screening followed by biopsy according to abnormal pap smear finding and treatment (if cervical dysplasia is diagnosed).
Authors and Affiliations
Sangeeta Pankaj, Simi Kumari, Vinayanand Choudhary, Rajesh Kumar Singh, Anil Kumar Pant, K. H. Raghwendra
Keywords
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