Correlation of Pap Smear with Histopathological Findings in various Cervical Lesions

Dr Aruna Kumari Pagalla; Dr Shyam Sunder Kasapa

Volume : VIII, Issue : VI, June - 2018

Correlation of Pap Smear with Histopathological Findings in various Cervical Lesions

Dr Aruna Kumari Pagalla, Dr Shyam Sunder Kasapa

Abstract :

Background: Conventionalcervicalcytology is the mostwidelyusedcervicalcancerscreeningtestinthe world. Squamousintraepithelialneoplasia(SIL)and cervicalcancer remainimportanthealthproblemsforwomenworldwide.

AimandObjective:To study varioustypesofcervicallesions withrelevantfactorssuch asage, parity, symptomstoclassifycervical lesionsintomalignant& benign groupsand tocorrelatethe cytological findingswithhistopathologicalfindings.

Materials and Methods: This studywas conducted on 800 cases of Pap smears and cervical biopsies,resected specimens.Afterfixationand staining, smearsand cervicalbiopsieswereprocessed andexaminedunder microscope.

Results:Agewise maximumnumberof patientswereinfourth decade(54.50%), followedbyfifthdecade.Oncytology,59% wereinflammatorysmears and frankmalignancywasreported in10%cases. LSILand HSILwerereportedin9%and 8.50% respectively.Maximumnumberofcasesonbiopsieswerethose ofinfections(57.50%),27%caseswerethose offrank malignancy;mostcommon beinginvasivesquamouscell carcinoma (23%),adenocarcinoma in 2% and poorly differentiated 2%. Cervicalcancerwasseenin39.65%ofpatientswithhaving≥3 children.10%casesdiagnosedoncytologyturned out tobe malignantonbiopsy.