The Evaluation of Cervical Cytology Results in a Tertiary Health Centre Between 2006-2015

Abstract

Objectives: The main goal of cervical cancer cytologic screening is to prevent mortality and morbidity associated with cervical cancer. We aimed to retrospectively evaluate the prevalence of cervical cytological abnormalities in patient records obtained from electronic data at our tertiary hospital. Materials and Methods: Demographic characteristics and data on cervical cytological abnormalities were evaluated from patients (n=54999) who underwent Pap tests in our hospital from 2006 to 2015. Results: Data were collected from 54999 patients. Overall, the prevalence of cervical cytological abnormalities was 2.27%; the prevalence of ASCUS, LSIL, and HSIL was 1.29%, 0.27% and 0.11%, respectively. The highest prevalence of HSIL was seen in the group older than 71 years. Conclusion: The abnormal cervical cytological prevalence rate in Turkey is similar to Europe, Israel, and North America. The data from our hospital over 10 years are compatible with data from various centres around the world and the country, apart from the increase in the incidence of abnormal smears in older age groups. Key words: Abnormal cervical cytology, cancer screening, cervical precanserous lesions, Pap smear Öz Amaç: Servikal kanser taramasının amacı, servikal kanser ile ilişkili morbidite ve mortaliteyi azaltmaktır. Araştırmamızda hastanemizin elektronik kayıtları retrospektif olarak incelenerek servikal sitolojik anomalilerin sıklığının değerlendirilmesi amaçlanmıştır. Materyal ve Metot: Hastane elektronik kayıtlarından 2006-2015 yılları arasında 54999 hastanın demografik verisine ve Pap-smear sonuçlarına ulaşılmıştır. Bulgular: Servikal sitolojik anomalilerin sıklığı %2,27; ASCUS, LSIL, HSIL sıklığı sırasıyla; %1,29; %0,27; % 0,11 olduğu görüldü. Hastalarda HSIL sıklığının en fazla olduğu yaş grubunun 71 yaş ve üzeri grup olduğu görüldü. Sonuç: Türkiye'deki anormal servikal sitoloji sıklığı Avrupa, israil ve Kuzey Amerika ile benzer bulunmuştur. Hastanemizin 10 yılı aşkın süredeki servikal sitoloji sonuçları dünyanın birçok ülkesi ile uyumlu olsa da ileri yaş grubunda artmış anormal smear sonuçlarına rastlanmıştır.

Analysis of cervical liquid-based cytology results in Eskişehir, Turkey: correlation of cytology results with histology, immunocytocemical HPV Ab and HPV DNA results of 18404 women

“…In studies in Turkey, positivity rates in cervical cytology reported as 1.8% -8.6%. [17][18][19][20][21][22][23][24] In a multicenter study that can be representative throughout Turkey, ratios that was reported by the participating centers ranged from 0.3 to 16.6%. According to the type of participant centers, average values are 2.81% in State Hospitals, 3.16% in University Hospitals and 12.32% in Private Hospitals.…”

“…These rates have been reported by various studies published in Turkey between 2.25% and 12.6%. 15,[17][18][19][20][21][22][23][24] In two separate studies that may reflect the Turkey-wide situation, the ratios are reported as 1.8% and 2.87%. 14,17 The ASC / SIL ratio in our study is 1.89% and it is in acceptable limits.…”