Analysis of Cervical Cytology Using PAP Smear in Women Residing in Bangalore Rural, India

Abstract

BACKGROUND Cervical cancer is one of the most deadly and common forms of cancer among women, worldwide. This disease could is preventable, by detecting it using Pap screening test. The objective of this study was to determine the pattern of various cervical smear abnormalities and to study the prevalence of epithelial cell abnormalities in our study population. METHODS A total of 200 married women between 21-70 years of age were enrolled in the study. Pap smear was done by the conventional method and reporting was done based on the Bethesda system 2014. Emphasis was put on epithelial cell abnormalities and the findings of abnormal epithelial lesions were correlated with histopathology. RESULTS Vaginal discharge was the most common complaint, occurring in 38% of the women. Lower abdominal pain was the complaint of 14% patients and irregular menstrual cycle of 13% of women, while 20% were asymptomatic. 41% had inflammatory changes. Atypical squamous cells of undetermined significance (ASCUS), low-grade squamous intraepithelial lesion (LSIL), and high-grade squamous intraepithelial lesion (HSIL) were detected in 4%, 3.5%, and 1%, respectively. CONCLUSIONS Pap smear is a cost-effective simple test mainly to detect precancerous lesions of cervix which can be treated and followed up to down stage the disease.

Spectrum of Cervical Pap Smears in a Tertiary Teaching Hospital in Manipur, India

“…In the present study, most (22, 34.92%) of the abnormal cytology was detected in patients in the age group between 41 and 50 years (Table 4), with a mean age of 45.5 years, similar to other studies 2 . This study revealed ASCUS 51(3.27%) to be the most common ECA, which was similar to those obtained in other studies 3,4,8,14 (Table 5).…”

“…There were 1,499 (95.97%) cases of NILM, with the most common lesion 1,149 (72%) being of non-specific inflammation, similar to studies by others 2,4 . The ECA was detected in 4.04% of the cases, comparable to the ECA detection rates of 0.5% and 8.48% in various studies [2][3][4]7,8,11,14 (Table 3). In the present study, most (22, 34.92%) of the abnormal cytology was detected in patients in the age group between 41 and 50 years (Table 4), with a mean age of 45.5 years, similar to other studies 2 .…”

“…Trend Med. Res., 17(1):[8][9][10][11][12][13][14] 2022 Of the total 1,562 cases, 1,499 (95.97%) cases were reported as Negative for Intraepithelial Lesion or Malignancy (NILM), including 26 (1.66%) normal smears in Table1.…”