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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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Abstract
STUDY OF CERVICAL PAP SMEARS AND ITS UTILITY IN CERVICAL CANCER SCREENING IN A TERTIARY HOSPITAL: A RETROSPECTIVE STUDY
Dr. Ankita Singh* and Dr. Anuja Paul
ABSTRACT
In India which is a developing country, the most common carcinoma causing increased morbidity and mortality in women is cervical carcinoma. With the help of Papanicoalou (Pap) stain in sufficient and repeated cytological screening of cervical carcinoma, the diagnosis can be made early even in pre-invasive stage. Objectives: This is a retrospective study to assess all cervical smears examined during 6-months period at a teaching tertiary hospital. Methods: Reports of pap smear cytology with detailed clinical information were obtained. According to The Bethesda system of reporting cervical cytology, all the pap smears were reported. Results: A total of 468 Pap smears were examined. Maximum number of patients was in the age group of fourth decade. There were 29 unsatisfactory or inadequate samples (6.1 %). A total of 391 smears were reported as Negative for intraepithelial lesion or malignancy (NILM), of which 51 (13.04 %) showed normal cytological findings and 294 (75.19 %) were inflammatory. Out of a total 439 Pap smears only 48 (10.93 %) cases were reported to have epithelial cell abnormality. The 48 abnormal cases comprised of 28 cases with ASC-US, 12 cases of LSIL, 05 cases of HSIL, 03 cases of invasive squamous cell carcinoma cervix. Conclusion: For the diagnosis of a variety of cervical lesions including premalignant and malignant lesions, Pap smears are routinely done as an OPD procedure.
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