Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 1
Abstract
Objectives: Tis study aimed to analyse trends in epithelial cell abnormalities (ECAs) in cervical cytology at a tertiary care hospital in Kuwait. Methods: ECAs in 135,766 reports were compared over three seven-year periods between 1992 and 2012. Conventional Papanicolaou (Pap) smear tests were used in the frst two periods and TinPrep (Hologic Corp., Bedford, Massachusetts, USA) tests were used in the third. Results: Signifcant increases in satisfactory smears, atypical squamous cells of undetermined signifcance (ASCUS) and atypical glandular cells of undetermined signifcance/atypical glandular cells (AGUS/AGCs) were seen in the second and third periods (P <0.001). No signifcant increases were observed among low-grade squamous intraepithelial lesions (LSILs) or high-grade squamous intraepithelial lesions (HSILs) (P >0.05). An increase was noted in carcinomas between the frst and second periods although a signifcant decline was seen in the third (P <0.014). Conclusion: Satisfactory smears, ASCUS and AGUS/AGC increased during the study period although no signifcant increases in LSILs, HSILs or carcinomas were observed.
Authors and Affiliations
Kusum Kapila| Department of Pathology, Kuwait University, Safat, Kuwait, Prem N. Sharma| Department Health Science Centre, Faculty of Medicine, Kuwait University, Safat, Kuwait, Sara S. George| Department of Pathology, Kuwait University, Safat, Kuwait, Azza Al-Shaheen| Cytopathology Laboratory, Mubarak Al-Kabeer Hospital, Safat, Kuwait, Ahlam Al-Juwaiser| Cytopathology Laboratory, Mubarak Al-Kabeer Hospital, Safat, Kuwait, Rana Al-Awadhi| Faculty of Allied Health Sciences & Nursing, Kuwait University, Safat, Kuwait
Keywords
Related Articles
- EP ID EP14539
- DOI -
- Views 297
- Downloads 10
The Diagnosis and Management of Severe Hypercalcaemia A simplifed approach - Report of fve cases
Hypercalcaemia, a common medical problem, can be a manifestation of various diseases. When severe, it can represent a medical emergency. Correct diagnosis is important to prevent unnecessary investigations and parathyr...
Thoughts for the future
The three most significant health-related issues raised in the past year were, presumably, the introduction of drugs for ‘lifestyle improvement’, certain new medical interventions and a renewed interest in utilizing...
Fracture of Supracondylar Process of the Humerus
Te supracondylar process of the humerus is a rare skeletal anomaly, which is usually an incidental finding while an Xray is done for some other purpose. Te process can fracture resulting in pain and tender mobile swellin...
Accreditation of Graduate Medical Education Programmes One size fts all—or does it?
5th International Obstetrics & Gynecology Conference, Sultan Qaboos University, Sultanate of Oman 0-3 December 2007