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Category: Volume 08 Issue 10 October 2020
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Title: A Study on Pattern of Cervical Pap Smear Abnormalities with Respect to Age

Authors: Dr Shailesh Kumar Pankaj, Dr Om Prakash Dwivedy

 DOI: https://dx.doi.org/10.18535/jmscr/v8i10.35

Abstract

Aims and Objective: Worldwide, cervical cancer is the 2nd most common cancer in women. 80% of all the cases of cervical cancer occur in the developing countries. Cervicovaginal cytology (Pap) is an effective means of screening for cervical lesions. The aim is to study the spectrum of squamous epithelial lesions and their prevalence among different age groups. cervical cancer is the second most common cancer among the women in the developing countries (India). This is a Prospective, hospital based study done in a hospital at NMCH, Patna and carried for a period of two year.

Material and Methods: The patients presenting with complaints of vaginal discharge, backache, pain hypogastrium, dyspareunia and post coital bleeding were included in the study. Unsatisfactory smears, age <18 yrs, pregnancy, women who underwent hysterectomy, women with vaginal bleeding were excluded. The smears were reported according to the 2001 Bethesda system.

Result: Out of 220 cases, 240(91.95%) were reported as Negative for intraepithelial lesion and 21(8.04%) cases were found to be abnormal pap smears - 15(5.74%) cases of LSIL, 2(0.76%)  cases of HSIL and 4(1.53%) cases of ASCUS . Their prevalence among different age groups was - 161(61.68%) in reproductive age group, 55(21%) in perimenopausal age group and 45(17.24%) in postmenopausal age group. Abnormal cervical lesions can be diagnosed early by Pap smear examination. The prevalence of the abnormal smears was found to be more among perimenopausal age group followed by postmenopausal and then the reproductive age groups.

Conclusion: Abnormal cervical lesions are not uncommon and it can diagnose early by Pap smear examination

Keywords: Cervicovaginal cytology, Papanicolaou stain, Pap smear, Abnormal cervical lesions, Screening.

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Corresponding Author

Dr Shailesh Kumar Pankaj

Tutor, Department of Pathology, NMCH, Patna, India