ABNORMAL FINDING OF PAP SMEAR AMONG WOMEN HOSPITAL VISITORS IN CITY OF MOSUL, IRAQ

Sanaa Rajab,Layla G Saeed,Thukaa T Yahya,Wasnaa A Elias

doi:10.29121/granthaalayah.v8.i7.2020.233

Sanaa Rajab, Layla G Saeed + Show 2 more

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https://doi.org/10.29121/granthaalayah.v8.i7.2020.233

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Abstract

Objective: The research aims to test the use of the Pap smear screening system to identify precancerous lesions among women in City of Mosul, Iraq. Methods: This prospective study was carried out over 1 year at the Department of Obstetrics and Gynaecology in Mosul Teaching Hospital, city of Mosul, Iraq. We screened 100 sexually active women who were more than 21 years of age. Women with different complaints, including vaginal discharge, blood‑mixed discharge, foul-smelling discharge, postcoital bleeding, intermenstrual bleeding, postmenopausal bleeding, abdominal pain, infertility, and secondary amenorrhea, were included in this study. The glass slides had been sent for cytopathological review to the pathology department. The laboratory results have been reported by the new Bethesda Cervical Cytology Reporting System 2014. The device divided the lesions narrowly into certain negative ones for intraepithelial neoplasia and with epithelial cell abnormalities (ECA) that involve squamous and glandular cells. Upon pap smear, the patient was treated accordingly. Results: The study had enrolled a total of 100 cases. All of these patients had an abnormal Pap smear finding that fell according to TBS-2014 criteria in the category of Epithelial Cell abnormality. We interviewed all patients in Detail by proforma. The data reported were statistically analyzed and were collected following observations and tests. Among the study subject, the most common abnormal findings (68.9%) were negative findings. Inflammatory constitute (15.4), and Atypical squamous cells of undetermined significance (7%) followed by LSIL (5.9) and HSIL (2.9). Conclusion: Pap smear is an effective method for screening for Cervical Lesions Precancerous and cancerous. Nevertheless, a cervical biopsy must be performed which Is gold standard if any epithelial defects are found to be confirmed in cervical cytology.

Highlights

According to World Health Organization (WHO), Cervical cancer kills more than 300,000 women every year, and one woman is diagnosed with the disease every minute, it is one of the most preventable and curable forms of the disease. [1], [2] In a statement issued to coincide with the World Cancer Awareness Day, the WHO
Abnormal Finding of Pap Smear Among Women Hospital Visitors in City of Mosul, Iraq mentioned that nine out of ten women who die from cervical cancer live in poor countries and that if no action is taken, the deaths from the disease will increase by 50% Almost by 2040. [3], [4] Due to the cervical cancer screening programs conducted in many developed countries, incidences of cervical cancer and its mortality have declined over the last fifty years
Pap smear is an effective method for screening for Cervical Lesions Precancerous and cancerous

Summary

Introduction

According to World Health Organization (WHO), Cervical cancer kills more than 300,000 women every year, and one woman is diagnosed with the disease every minute, it is one of the most preventable and curable forms of the disease. [1], [2] In a statement issued to coincide with the World Cancer Awareness Day, the WHOAbnormal Finding of Pap Smear Among Women Hospital Visitors in City of Mosul, Iraq mentioned that nine out of ten women who die from cervical cancer live in poor countries and that if no action is taken, the deaths from the disease will increase by 50% Almost by 2040. [3], [4] Due to the cervical cancer screening programs conducted in many developed countries, incidences of cervical cancer and its mortality have declined over the last fifty years. [3], [4] Due to the cervical cancer screening programs conducted in many developed countries, incidences of cervical cancer and its mortality have declined over the last fifty years. High incidence and mortality rates continue due to a lack of screening programs [5], [7]. According to World Cancer figures, > 80% of all cases of cervical cancer arise in developed and low-resource countries due to a lack of knowledge and difficulty in conducting cytology-based screening programs. A Pap smear test, which is the main screening test for the identification of precancerous intraepithelial cervical neoplasia and the early stage of invasive cervical cancer, may recognize early cervical epithelial changes. A Pap smear test, which is the main screening test for the identification of precancerous intraepithelial cervical neoplasia and the early stage of invasive cervical cancer, may recognize early cervical epithelial changes. [10], [12]

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