Cytomorphological spectrum of cervical pap smear reports using the 2014 bethesda system for reporting cervical cytology; A two year study in a tertiary care hospital at Puducherry, India

Abstract

Background: Cancer cervix is fourth most common cancer in world and second most common in India. It is considered as a preventable disease when identified at an early stage by pap smear screening test. Aim: This study aims to explore the use of conventional pap smear for the diagnosis of various cytomorphological spectrum of cervical pap smear reports using “The Bethesda System for reporting cervical cytology 2014” (TBSRC 2014), to analyze the clinical and demographic data of the patients, and also to characterize the age pattern of various pap smear findings/results and prevalence of abnormal pap smears among various age groups as well. Methods: In this retrospective study, a total of 1650 conventional pap smears of women who attended gynaecology OPD in our tertiary care hospital, Puducherry, India between July 2018 to July 2020 are evaluated and reported as per TBSRC 2014 and the results were tabulated and analysed accordingly. Results: 1376 women had Negative for Intraepithelial lesion/ Malignancy (NILM) and 33(2.3%) had Epithelial cell abnormality (ECA). Organisms (15.3%) is the one of the frequent patterns of NILM in the study involving predominantly 21-40 years age group (11%).