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Evaluation of Exfoliative Cytology on Conventional Cervical Pap Smears By Using Bethesda System 2014 in a Teaching Hospital

Shoba K.L., Assistant Professor, Dept. of Pathology, Mandya Institute of Medical Sciences, Mandya, Karnataka 571401, India. , Kusuma K.N.* , Shoba K.L.**

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Indian Journal of Pathology: Research and Practice 6(4 (Part-2)):p 1123-1126, Oct-Dec 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.6417.50

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Abstract

Background: In India cervical cancer is the leading cause of morbidity and mortality. Cancer of cervix ispreventable, and can be diagnosed at the premalignant/ preinvasive stage with adequate and repetitive cytological screening by Papanicolaou (Pap) smears. Methods: This retrospective study includes total 820 patients who were presented with various gynaecological problems. Clinical data was obtained by hospital records and smears were revived. Reporting was carried out as per Bethesda system 2014. Results: Total 820 patients were screened. Majority of cases (812 of 820) were negative for intraepithelial lesion (NIL) and there were 7 abnormal Pap smears which includes 3 cases of high grade intraepithelial lesions (HSIL), 2 cases of low grade intraepithelial lesions LSIL(0.2%) and each case of atypical glandular cells(AGUS) and Squamous cell carcinoma (SCC)and 1 case was unsatisfactory for evaluation. Among NIL, 763 (93%) were of non specific inflammatory smear, 16 cases Candidal inflammatory smear and 33 cases were of Trichomonal inflammatory smear. Conclusions: Pap smear cytology is a useful screening tool to detect preinvasive cervical epithelial lesions hence, the incidence of invasive cervical malignancy can be prevented if Pap screening program is effectively implemented in target population.

 

Keywords: Pap smear; Epithelial Cell Abnormality; Negative for Intraepithelial Lesions. 

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DOI: DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.6417.50

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