Spectrum of Cervical Pap Smear in a Tertiary Care Center

Abstract

Background: In India, cervical cancer is the leading cause of morbidity and mortality which is preventable and can be diagnosed at the pre-malignant stage. Cervical Papanicolaou smear examination is an effective procedure to detect premalignant, malignant and various benign lesions of cervix. Materials and Methods: This study was done to find out the pattern of cervical lesions diagnosed in Pap smear in tertiary care center. Retrospective data of 967 cases were collected from pathology department for the duration of 12 months, from March 2016 to March 2017 and filled in a pre-designed proforma. Results and Conclusion: The maximum 473 (48.91%) cases were diagnosed as negative for Intraepithelial Lesion or Malignancy (NILM), 185 (19.13%) as bacterial vaginosis, 24 (2.48%) cases as Trichomoniasis, 14 (1.45%) as Candida infection, 6 (0.62%) cases were diagnosed as Low-Grade Squamous Intraepithelial Lesion (LSIL) and 3 (0.31%) cases were diagnosed as High-Grade Squamous Intraepithelial Lesion (HSIL). This study reiterates the importance of Pap smear as screening tool and incidence of various lesions as categorized by Bethesda System (TBS).