Abstract
Cervical cancer is the most common cancer among the women worldwide. It has a very long precancerous period which provides a considerable time to detect and treat it. Certain strains of Human Papilloma Virus (HPV) infections which is a common sexually transmitted infection is the primary cause of cervical cancer. Cofactors like other infections, immunocompromised status and tobacco use also play role in progression to frank cancer. The present study was carried out to screen precancerous and cancerous lesions of cervix in women working in tertiary care hospital.
Aims and Objective: To study cervical lesions using Pap smears among women workers in a tertiary care hospital and analysis of results of Pap Smears studies in two months period. (February 2017-march 2017).
Material and Methods: 101 Pap smears were collected among working women in age group of 25-55 years in our hospital in the month of February 2017 and March 2017 and the smears were evaluated according to Bethesda 2014 Guidelines.
Result: The study included 101 cases out of which 54(53.46%) were inflammatory smears, 11 (10.89%) out of 54 smears revealed reactive atypia, 33 smears (32.67%) revealed no significant pathology. Low Grade Squamous Intraepithelial Lesion (LSIL) was seen in 9 (8.9%) cases while 5 smears (4.95%) were inadequate. Amongst these HPV cytopathic effect was seen in 4 cases of LSIL and 2 cases of inflammatory smears. These cases underwent colposcopic examination and will be followed up for six months.
Conclusion: Screening of asymptomatic women workers has yielded significant information. Earlier detection of HPV cytopathic effect and LSIL can offer prompt treatment and cure at the precancerous stage.
Keywords: Cervical Pap smears, Screening test, Precancerous lesions.
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Corresponding Author
Dr Malika Mehta
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DOI: https://dx.doi.org/10.18535/jmscr/v6i3.83
