A study of cervical pap smears in a tertiary care hospital of Ahmedabad, Gujarat, India

Dr. Manan P Jadav; Dr. Falguni T Patel; Dr. Bhoomi A Shah; Dr. Nisarg R Parikh; Dr. Ratigar N Gonsai

doi:10.33545/pathol.2019.v2.i2b.81

A study of cervical pap smears in a tertiary care hospital of Ahmedabad, Gujarat, India

Dr. Manan P Jadav, Dr. Falguni T Patel, Dr. Bhoomi A Shah, Dr. Nisarg R Parikh and Dr. Ratigar N Gonsai

DOI: https://doi.org/10.33545/pathol.2019.v2.i2b.81

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ABSTRACT

Background: Cervical cancer is the fourth leading cause of death in females worldwide. In India and other developing countries cervical cancer is the leading cause of morbidity and mortality. Repetitive cytological screening with Pap smear help to diagnose cervical cancer in pervasive stage.

Aims and Objectives: To evaluate the use of Pap smear screening method for detection of precancerous lesions of cervix. To increase awareness about screening program among women.

Materials and Methods: Study is carrying out by taking 487 Pap smear from patients attending gynecology OPD at Dr. M.K. Shah Medical College and Research Centre from January 2016 to March 2019. Smears were reported as per the 2014 Bethesda system.

Results: Total 487 patients were screened. Out of 487, 194 were having normal cytology and 262 cases with inflammatory changes. 25 cases were unsatisfactory. 1 case of ASCUS, 2 cases of SCC and 1 case of HSIL, 1 case of LSIL were observed.

Conclusion: Pap smear test is a very simple, safe, noninvasive, economical OPD based procedure to detect pervasive cervical epithelial lesions. Every women should undergo Pap test at least once in her life before the age of 45 years. Timely screening of pervasive lesion allows presentation from invasive cervical smear.