Abstract

<p>To study the incidence of abnormal  papsmear in Shree Birendra Hospital in the year 2068 among army families. Method: Among the army families all sexually exposed ladies up to age group 60 yrs. are subjected to papsmear. The groups who had positive result are subjected for colposcopy and directed biopsies, and those with cervical precancerous lesions or cancer, received appropriate treatment. Result: Among 7000 gynaecological patients examined in the gynaecology outpatient department 1100 pap smears were done. Out of this, total normal smear were 647 rests were abnormal. Conclusion: In low resource settings a single papsmear testing was associated with significant reduction in the numbers of advanced cervical cancers and deaths from cervical cancers. Therefore, in low resource settings where colposcopy, biopsy, or follow-up with pap smears cannot be done effectively, cryotherapy, as part of a single visit approach is  still needed.</p>

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