A study on cervical screening by PAP smear and correlation with microbiological and clinical finding
Keywords:
Pap smear, Cervix, LSIL.Abstract
Introduction: Cervical cancer is one of the most common cause in India with over 75% of incidence and mortality. The objective of cervical cancer screening, therefore, is the detection of these lesions before developing into invasive cervical cancer.Methods: This prospective study was carried out over 2 year at the Department of Obstetrics and Gynaecology in National Institute of Ayurveda, Jaipur. Pap smears were collected from 400 sexually active women who were more than 21 years of age.Result: Most common findings were Inflammatory lesion (46.5%), followed by NILM(30%). Atrophic smear was seen in 16 cases (4%), rest had abnormal cellular changes in the form of ASCUS (1.25 %), LSIL (2 %) and Carcinoma (1%).Conclusion : Inflammatory smear is most common cytological finding in premenopausal age group . Epithelial cell abnormality is most common finding in premenopausal and postmenopausal age groups. Pap smear examination can be coupled with culture and sensitivity of vaginal swab to provide adequate treatment.