Colposcopic Evaluation of Patients with Persistent Inflammatory Pap Smear
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 3
Abstract
Abstract: Inflammatory pap smear is the most common report encountered by the gynaecologist even in healthy cervix. As per screening guidelines, colposcopy is done only on detection of atypical cells on cytology. This study was carried out with an aim to evaluate whether persistent inflammatory changes on Pap smear could be the first indication of premalignant changes in the cervix and whether further evaluation by colposcopy would help to triage these women. 200 women attending the gynaecology clinic were screened with pap smear. Women with inflammatory smear were treated with antibiotics according to WHO guidelines and a repeat pap smear was taken. Women with persistent inflammatory smear were subjected to colposcopy and directed biopsy if required. Of the 200 women screened, 169 (84%) had an inflammatory smear, 72 (36%) had persistent inflammatory smear. These 72 patients underwent colposcopy, and 47(65.28%) of them needed a cervical biopsy. Histopathology in 31(43%) showed a chronic cervicitis picture and 15 patients (20.7%) had a proved premalignant lesion of the cervix. Colposcopic evaluation of patients with persistent inflammatory pap smear might help us to detect a significant number of cases in premalignant state which are being missed. Keywords: Pap smear, Inflammation, Cervix, Colposcopy, CIN, Biopsy
Authors and Affiliations
Deepa Shanmugham, Anitha Vijay, Thirupurasundari Rangaswamy
Keywords
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