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Epithelial cell abnormalities in cervical pap smears

Author: 
Dr. Aparna M. Kulkarni, Dr. Prashant S. Mane, Dr. Ravindra V. Ramteke and Dr. Meenal V. Jadhav
Subject Area: 
Health Sciences
Abstract: 

Background: Cervical cancer is the fourth most common cancer among women worldwide. In India it is the most common cancer among females. Papanicolaou cytological (Pap) test helps in detecting the early epithelial abnormalities in cervical cells. Material and Methods: Pap smears of 1941 women attending the gynaecology OPD, from January 2012 to December 2015 were evaluated by light microscopy. The 2001 Bethesda system for reporting cervical cytology was used in evaluating the pap smears. Results: The mean age was 41.7. The prevalence of epithelial cell abnormality was noted in 10.1% of the cases. Of which 16.7% were reported as inadequate, 73.2% as NILM, 3.8% as ASCUS, 4.0% as LSIL, 2.1% as HSIL and 0.2% as SCC. Conclusion: Women aged 45 or above harbor the bulk of premalignant and malignant lesions in the Pap smear, signifying that these women are among the under users of cytological screening and hence regular counselling and screening should be conducted among vulnerable age groups.

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