Journal of Research in Applied and Basic Medical Sciences
Journal of Research in Applied and Basic Medical Sciences
Medical Sciences
http://ijrabms.umsu.ac.ir
1
admin
2717-0098
8
10.61186/rabms
14
8888
13
en
jalali
1401
4
1
gregorian
2022
7
1
8
3
online
1
fulltext
en
Analysis of 100 cervical pap smears for screening of cervical cancer at a tertiary care teaching hospital
عمومى
General
پژوهشي
orginal article
<span style="font-size:12pt"><span style="line-height:16.0pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:9.0pt">Background & Aims</span></i></b><b><span style="font-size:9.0pt">: </span></b> <span style="font-size:9.0pt">Cervical cancer is the fourth most common cancer among women worldwide. Pap smear testing can detect cervix precursor lesions early and reduce the morbidities and mortalities associated with cervical cancer by its early detection. The aim of this study was to analyze 100 Papanicolaou smears (PAP smears) taken from women presenting various gynecological indications as a screening method to rule out cervical cancer. </span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:16.0pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:9.0pt">Materials & Methods</span></i></b><b><span style="font-size:9.0pt">:</span></b><span style="font-size:9.0pt"> PAP smear samples were collected using Ayres spatula devices from 100 women between the ages of 25 and 70 who reffered to the Gynecological Outpatient Department with different gynecological complaints. Smear reports were reported as per the 2013 Bethesda system.</span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:16.0pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:9.0pt">Results</span></i></b><b><span style="font-size:9.0pt">:</span></b><span style="font-size:9.0pt"> The common presenting complaints of women in our study were abnormal vaginal discharge (p/v 55%), followed by pruritities valve (9%), intermenstrual bleeding (8%), and postcoital bleeding (2%). On speculum examination of the cervixes, 30% had chronic cervicitis. Cervix bleeds on touch in only 4% of the women. Abnormal vaginal discharge is seen in 60% of women. 36% of smears were inflammatory, 5% had low-grade squamous intraepithelial lesions, and 2% had high-grade squamous intraepithelial lesions. ASCUS and ASC-H were reported in 3% and 1% of the smears, respectively.</span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:16.0pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:9.0pt">Conclusion</span></i></b><b><span style="font-size:9.0pt">: </span></b> <span style="font-size:9.0pt">PAP smear is a very easy and economical screening method to detect premalignant and malignant lesions of the cervix, which helps in proper treatment.</span></span></span></span>
PAP Smear, High Grade Squamous Intraepithelial Lesions, Low Grade Squamous Intraepithelial Lesions, Atypical Squamous Cells, Undetermined Squamous Cell Carcinoma
169
174
http://ijrabms.umsu.ac.ir/browse.php?a_code=A-10-199-1&slc_lang=en&sid=1
Shaily
Sengar
shailysengar@gmail.com
10031947532846002643
10031947532846002643
No
Assistant Professor, Department of Obstetrics & Gynaecology, Shrimant Rajmata Vijayaraje Scindia Medical College, Shivpuri, Madhya Pradesh, India
Raman
Ohary
raman.ohary4@gmail.com
10031947532846002644
10031947532846002644
Yes
Associate Professor, Shrimant Rajmata Vijayaraje Scindia Medical College, Shivpuri, Madhya Pradesh, India
Anil
Kushwanshi
dranilkushwanshi@gmail.com
10031947532846002645
10031947532846002645
No
Assistant Professor, Department of Surgery, Shrimant Rajmata Vijayaraje Scindia Medical College, Shivpuri, Madhya Pradesh, India
Japhia
David
japhia29@gmail.com
10031947532846002646
10031947532846002646
No
Senior Resident, Department of Obstetrics & Gynaecology, Shrimant Rajmata Vijayaraje Scindia Medical College, Shivpuri, Madhya Pradesh, India