Study of Cervical Pap Smears in 558 Cases
Abstract
Background: Cervical cancer is one of the major causes of mortality among women worldwide. The present research aimed to study and analyze 558 pap smears from women presenting with various gynecological indications and as a routine screening test.
Methods: This study was carried out in the Department of Pathology of Jahurul Islam Medical College from the pap smears coming from the Gynecology OPD from February 9, 2015 to February 11, 2016. Pap smears were taken from patients aged 20 - 69 years presenting with different gynecological complaints and as a routine screening test using Ayres spatula. Smears were reported as per the 2004 Bethesda System.
Results: Of the 558 pap smears studied, 532 smears were satisfactory for evaluation. Among them, 492 (92.5%) were inflammatory smear, 16 (3%) smears showed low grade squamous intraepithelial lesion (LSIL), four (0.8%) smears showed high grade squamous intraepithelial lesion (HSIL), and four (0.7%) smears showed atypical cells suggestive of squamous cell carcinoma. Chronic per vaginal whitish discharge with itching was the most common complain (70.2% patients).
Conclusion: Pap smear is an easy and economical screening method to detect premalignant and malignant lesions of cervix which helps in proper treatment.
Clin Infect Immun. 2017;2(1):5-7
doi: https://doi.org/10.14740/cii18w
Keywords
References
Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015; 136: 359-386.
Tamrakar SR, Chawla CD. A Clinical Audit of Pap Smear Test for Screening of Cervical Cancer. Nepal J Obstet Gynecol. 2014; 7: 21-24.
Narasimha A, Vasavi B, Kumar H, Sapna M. An audit of Pap smear cytology. J South Asian Federation Obstet Gynecol. 2011; 3: 121-124.
Mehmetoglu HC and Sadikoglu G. Pap smear screening in the primary health care setting: A study from Turkey. N Am J Med Sci. 2010;2:1-28.
Jeffcoate’s principles of Gynecology, 7th edition, 2008. Chapter 25, page.416.
WHO/ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre). Summary report on HPV and cervical cancer statistics in India. 2007.
Bamanikar SA, Baravkar DS, Chandanwale SS and Dapkekar P, Study of Cervical Pap smears in a Tertiary Hospital. Indian Medical Gazette. 2014:250-254.
Patel MM, Pandya AN, Modi J, Cervical Pap smear study and its utility in cancer screening, to specify the strategy for cervical cancer control. National Journal of Community Medicine. 2011:2:1:49-51.
Bhatla.N, Gulati A, Mathur SR, Anand K, Muwonge R et al evaluation of council screening in rural north India. Int. J. Gynaocol Obstet. 2009.105:145.
Idestrom M, Milsom I, Andersso-Ellstrom A. Knowledge and attitudes about the Pap-smear screening program: a population-based study of women aged 20-59 years. Acta Obstet Gynecol Scand. 2002;81:962-7.
