SPECTRUM OF PAP SMEAR AMONG PATIENTS ATTENDING GYNAECOLOGY OPD OF ONE OF THE RURAL TERTIARY CARE CENTRES OF GUJARAT, INDIA

Main Article Content

Dr.Shilpa Ninama
Dr.Meghavini Parmar
Dr.Mayur Gandhi
Dr Runoo Ghosh
Dr.Latika Mehta

Keywords

Cervical cancer, Pap smear, Prevention

Abstract

Mortality and morbidity due to cervical cancer can be prevented if diagnosed early. Pap smear examination is the most effective diagnostic method for identifying cervical cancer at any stage, premalignant, malignant and also for benign lesions of the cervix. The present study was conducted to estimate the number of cervical cancer cases and to evaluate the pattern of various cervical lesions of patients attending our Gynaecology OPD of the rural tertiary care centre. A Cross-sectional study was conducted for one and half years from January 2020 to July 2021 to find out the pattern of cervical lesions diagnosed by using a Pap smear at a tertiary care centre in Gujarat. All the eligible women attending the gynaecology outpatient department were informed regarding Pap smear examination. A predesigned pro forma was filled out for all the women who consented to undergo a Pap smear examination. The maximum 548 (54.8%) cases had inflammatory lesions, 323(32.3%) cases were diagnosed as negative for Intraepithelial Lesion or Malignancy (NILM), 47(4.7%) cases were diagnosed as Low-Grade Squamous Intraepithelial Lesion (LSIL), 32(3.2%) cases were diagnosed as High-Grade Squamous Intraepithelial Lesion (HSIL), 28 (2.8%) cases were diagnosed as Atypical Squamous Cells of Undetermined Significance (ASCUS),& 22 (2.2%) cases were diagnosed with squamous cell carcinoma (SCC). Pap smears can be an effective screening method for early identification of cervical carcinoma. Every eligible woman should be counselled regarding Pap smear examinations irrespective of their presenting complaint among all the patients attending Gynaecology OPD

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