Abstract
Objectives: To evaluate all previously conducted pap smears examined at a teaching tertiary hospital during a one year period and its clinical correlation.
Introduction: In India cervical cancer is the leading cause of morbidity and mortality. Cancer of cervix is preventable and can be diagnosed at the pre-malignant pre-invasive stage with adequate and repetitive screening by cervical cytology.
Material and Methods: This is a retrospective study conducted in Department of Obstetrics and Gynaecology of GRMC, Gwalior from Jan 2018 to Dec 2018. Pap’s Smear were taken using Ayres Spatula from patients aged 20-70 years presenting with different gynaecological complaints in Gynaecology OPD as a routine screening test. A total of 7818 cases were analyzed. Prevalence of epithelial abnormalities was calculated in percentages.
Results: Of the 7818 pap smears studied, 7576 were satisfactory for evaluation. Among 165 (2.1%) cases showed epithelial cell abnormalities and 940(12.4%) were normal cases. Chronic white discharge per-vagina was the most common complain. LSIL was found to be the most common epithelial cell abnormality. Most abnormal pap smear findings were found in patients with white discharge per vaginum.
Conclusion: Incidence of invasive cervical malignancy can be prevented if PapSmear screening program is effectively implemented in target population.
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Corresponding Author
Dr Shikha Asrani
Senior Resident, Department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i9.122
