UTILITY OF PAP SMEAR STUDY IN CERVICAL CANCER SCREENING IN SYMPTOMATIC PATIENTS IN A TERTIARY CARE HOSPITAL

Dr. Manjiri Khade; Dr. Dilip Sarate; Dr. Pradip Umap

Volume : IX, Issue : IV, April - 2019

UTILITY OF PAP SMEAR STUDY IN CERVICAL CANCER SCREENING IN SYMPTOMATIC PATIENTS IN A TERTIARY CARE HOSPITAL

Dr. Manjiri Khade, Dr. Dilip Sarate, Dr. Pradip Umap

Abstract :

Abstract: Introduction: Cervical cancer is leading cause of death in developing countries like India. Morbidity and mortality rates are high due to illiteracy &poverty. It can be reduced by effective screening methods like Pap smear examination by detection at earliar precancerous or in situ stages. Aims: 1) To evaluate various inflammatory and noninflammatory lesion including benign and malignant neoplasm. 2) To evaluate the role of Pap smear screening in early detection of cervical precancerous and malignant lesions. 3) To know age specific incidence of precancerous and malignant lesions. 4) To know awareness of Pap smear examination among patients. Material and Methods: This cross sectional retrospective study was done at tertiary care hospital during 1st January 2017 to 31st December 2017. Total 1904 Pap smears were examined using proper collection and staining methods. Necessary patient information regarding history, symptoms and knowledge regarding Pap smear examination was recorded. Result: Out of 1904 Pap smears examined predominant age group was 30–45 years. For reporting, guidelines of 2001 Bethesda system were followed. Inflammatory lesions accounted for 56.98%, Negative for intraepithelial lesion or malignancy were 22.89% , Inadequate for interpretation were 8.3% , atrophy was seen in 9.1% cases and premalignant and malignant lesions were 2.57% which included ASCUS (n=17) 0.89% , LSIL (n=24) 1.26 % , HSIL (n=5) 0.26%, SCC (n=3) 0.15 %. Out of 1904 patients only (n=99) 5.19% women were knowing regarding Pap smear examination. Conclusion: Pap smear examination is simple, cost effective screening test for early detection of precancerous and cancerous lesion. Every woman should undergo at least one life time Pap smear examination. There is need to educate women regarding usefulness of Pap smear study.