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Analysis Study Research Paper | Medical Science | India | Volume 13 Issue 1, January 2024
Cervical Pap Smear: A Prospective Study on Symptomatic women in a Tertiary Care Hospital in Southern Rajasthan
Dr. Sanya Kumar | Dr. Deepika Panwar | Dr. Sachin Jain | Dr. Payal Jain [4] | Dr. Manisha Singhal
Abstract: Background: Cervical cancer is the fourth leading cause of death in females worldwide. In developing countries like India cervical cancer is the leading cause of morbidity and mortality. Cancer of the cervix can be prevented and diagnosed earlier at the pre-malignant stage with adequate and repetitive cytological screening by Papanicolaou (Pap) smears. Aim: The aim of this study was to study the role of a Pap smear in detecting non-neoplastic, premalignant, malignant lesions of the cervix as well as the prevalence of different lesions in women who received a traditional Pap smear technique. Methods: It is a prospective cross-sectional study of 800 pap smears studied from June 2022 to May 2023 received in the department of obstetrics and gynecology in tertiary care hospital. Samples were collected from women between 20 to 80 years presenting with some gynecological problems. Smears were reported as per the 2014 Bethesda system. Results: Out of 800 women, 683(85.4%) women had NILM finding on pap smear and 42(5.2%) were found to have epithelial cell abnormality. However, 75(9.4%) were found to be unsatisfactory. Out of those with epithelial cell abnormality, 24(3%) cases of ASCUS, 8(1%) cases of HSIL, 5(0.6%) cases of LSIL, 3(0.4%) cases of SCC, and 2(0.2%) cases of AGUS were observed. Conclusion: A Pap smear is simple, non-invasive, cost-effective, and easy to perform for the detection of precancerous lesions in a gynecological patient. Every woman should undergo a Pap test at least once in her life. A pap smear should start from 25 years to be done till 65 years (repeated after every 3 years).
Keywords: Cervical cancer, cervical cancer, Pap smear
Edition: Volume 13 Issue 1, January 2024,
Pages: 1276 - 1281