Detection Of Abnormal Cervical Cytology In Papanicolaou Smears At A Tertiary Care Hospital

Abstract

Objective: After breast cancer, cervical cancer is the second most common cancer in women worldwide.In developing countries it happens to bea leading cause of death by cancer. It is one of the most preventable and curable of all cancers. Most women due to lack of awareness never undergo a cervical Pap smear screening. The Objective here is to study the role of Pap smear in detecting premalignant and malignant lesions as well as non- neoplastic lesions of cervix. Methods: This retrospective study of 1058 women with age group 20 to 90 years was carried out over 4 years from 2012 to 2015 at cytology section of pathology department, Tripura Medical College, Hapania.Pap smears were prepared and after fixation and staining, each smear was carefully examined. Results: In this study, Low-grade squamous intraepithelial lesions was the most common with 86 cases (8.1%) followed by High-grade squamous intraepithelial lesions with 52 cases (4.9%). Squamous cell carcinoma 35 cases (3.3%), ASCUS 12 cases (1.1%). Conclusion: Pap smear happens to be an elementary, economical, safe and pragmatic diagnostic tool for early detection of cervical cancer, so it should be established as a routine screening procedure. A routine pap screening cytology of uterine cervix of all the women aged 40 to 50 years should be encouraged by the medical fraternity.