One year papanicolaou (PAP) smear study in a tertiary care centre
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2018, Vol 2, Issue 5
Abstract
Background: Among the all gynecological cancer, cervical cancer is an important women’s health problem worldwide in low socioeconomic countries including India. Morbidity and mortality could be significantly reduced by an active Pap smear screening program. Aims and objective of this study to raise public awareness on the need for cervical screening. To improve overall coverage of target population. Method: A total 4000 married women complaining of white discharge were included in our study. The women were asked for the presence of known risk factor of cancer cervix such as socioeconomic background, early sex, early marriage, high parity, smoking, multiple sex partners, partner having multiple sex partners. Smear were taken in gynecological outdoor and examined by the pathologists of IPGME&R/SSKM, Kolkata. Results: Among the participant over 96% had never heard of pap smear screening before. Abnormal Pap smear was found in 6.9% of cases. Significance category were ASC (.6%), L-SIL (4.I%), H-SIL(.93%%), biopsy proved SCC(.55%), inflammatory smear 39.5% and 33.1% were normal. Conclusion: The frequency of epithelial cell abnormalities in our study was almost same the frequency reported from Western countries and also from other studies of India. To evaluate the magnitude of the problem, unified National program for diagnosis cervical precancerous lesion should be established all over the country.
Authors and Affiliations
Dr. Dipnarayan Sarkar, Dr. Sarbeswar Mandal
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