Significance of inflammation in cervical cytology smears in rural women of India: An observational study
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction Inflammatory smears are frequently seen in cervical cancer screening and they have been widely implicated as precursor of premalignancy of cervix In the present study attempt has been made to find out correlation between inflammation and different predisposing factors to cervical carcinogenesis in the rural contextMaterials and Methods Cervical cancer screening is in progress in the rural population of West Lucknow India since May 2013 under the auspices of Eras Lucknow Medical College and Hospital Lucknow India and till March 2018 cervical smears of 2563 women have been cytologically examinedResults The incidence of inflammation was found to be 337 in the present series It was nonspecific in 913 and was associated with either Candida albicans or Trichomonas vaginalis in 82 of cases The inflammation was associated with low grade squamous intraepithelial lesions of cervix LSIL in 176 cases 201 which were mostly asymptomatic 361 and some had cervical lesions on the cervix 112 The inflammatory smears were mostly seen in women complaining of vaginal discharge 471 or vague pain in the lower abdomen 319 The inflammation was more common in younger sexually active women between 2140 years and was seen rising with increasing parityConclusion The accumulated data points out that the clinical lesions of cervix and multiparity have some impact in the initiation of inflammatory changes in the cervical epithelium The inflammatory smears whenever reported should be adequately treated and smears are repeated after 6 months to rule out any persistence of inflammation or development of any premalignancyKeywords Inflammation LSIL STDs Rural women
Authors and Affiliations
J S. Misra, A N. Srivastava
Keywords
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- EP ID EP475998
- DOI 10.18231/2394-2754.2018.0117
- Views 71
- Downloads 0
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