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Abstract
PREVALENCE OF CYTOLOGICAL ABNORMALITY OF CERVICAL PAPANICOLAOU SMEAR IN A- IMAMEEN AL- KADYMIAN MEDICAL CITY 2020, 2021
*Dr. Zainab Alaa Dhari, Dr. Alhan H. Sultan, Dr. Lamees Adnan Shubber, Dr. Ilham Abdulrahman Alzubaidi and Dr. Hiba D. Al_Ameri
ABSTRACT
Introduction: Cervical cancer is one of the leading causes of cancer death among females worldwide and its behavior epidemiologically likes a venereal disease of low infectiousness. The wide differences in the incidence among different countries also influenced by the introduction of screening.It is one of seven malignancies that accounted for half of the yearly worldwide incidence and mortality burden of all cancers. The goal of this study is to find out how many Iraqi women have invasive cervical cancer and intraepithelial neoplasia. Method: A cross sectional study. Information including the age and cytological results of the Pap smear for each patient parity,history of wart,education level, were taken. Asymptomatic female and those having (post cotal bleeding, post-menopausal bleeding, inter menstrual bleeding, vaginal discharge, dyspareunia, warts) are included in the study. Any females with unsatisfactory in cytology, pap smear reports are excluded from study. Results: from 438 females, 383 (87%) females had normal diagnoses, 43 (10%) of females diagnosed as ASCUS and 12 (3%) as LSIL. Mean age of females according to diagnosis as following: LSIL (38.75 ± 12.55), ASCUS (41.93 ± 11.03) years. There is a significant association between Pap smear and outcome; 91.7% of females diagnosed as LSIL had never had a Pap smear. There is a significant association between wart history and result; 83.3% of LSIL and 76.7% of ASCUS females had never had a wart. Menopause is associated with outcome; 33.3% of LSIL and 30.2% of ASCUS patients had menopause. There is a strong correlation between contraceptive method and result; 66.7% of LSIL females use a combination CP, whereas 30.2% of females diagnosed as ASCUS are use hormonal CP. Conclusion: Most of females have cervical cancer screening diagnosed as ASCUS and then as LSIL, the age of females according to diagnosis outcomes as the following; LSIL (38.75 ± 12.55) years, ASCUS (41.93 ± 11.03) years. High frequency of LSIL among women do not do Pap smear previously.
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