ABSTRACT
Introduction: Cervical cancer is the major health burden in India. For detection in early stage, the screening test is Pap smear. To check the sensitivity and specificity of Bethesda system, the cytological findings have to be correlated with histology considering histopathology as gold standard. Materials and methods: This was a retrospective study conducted in Pathology Department of at tertiary care center; Saraswati Institute of Medical Science (SIMS), Hapur. Cytopathological findings were correlated with corresponding follow-up histopathological findings using revised 2014 Bethesda System. Results: Most of patients were of age group 41-50 years which was 56 (37.33%), followed by the age group 51-60 years which was 40 (26.67%). Majority cases were of parity 3 which were 51 cases (34%) followed by parity 4 which were 40 (26.67) with mean parity of patient being 3.30. Conclusion: The Pap smear has good sensitivity and specificity in detecting pre-neoplastic lesions of uterine cervix and it is cost effective too.
ABSTRACT
Introduction: Abnormal Uterine Bleeding is one of the commonest presentations of patients in gynecology OPD (Outdoor patient department). Abnormal uterine bleeding is a common sign of a number of different uterine disorders ranging from dysfunctional (non-organic) abnormalities or complications of pregnancy to organic lesions such as polyps, hyperplasia, or carcinoma. Materials and methods: Present study included 200 patients who attended OPD of Gynecology Department, with complaints of abnormal uterine bleeding. All the biopsy specimens were sent to Pathology Department. We had made an appropriate histopathological diagnosis for each case. The data was collected and analyzed statistically. Results: Out of 200 cases studied, 21% were found out to be secretory endometrium, 30% proliferative endometrium, 9% simple hyperplasia without atypia, 5% complex hyperplasia without atypia, 8% endometrial hyperplasia with atypia, 3% endometrial polyp, 8% chronic nonspecific endometritis, 2% tuberculous endometritis, 1% Arias-stella reaction, 10% products of conception, 1% complete and partial hydatidiform mole, 1% endometrial carcinoma and 1% squamous cell carcinoma of cervix. Conclusion: Endometrial biopsy is a safe, reliable and less time consuming outpatient procedure which can be used as an initial diagnostic tool in the patients with abnormal uterine bleeding.
ABSTRACT
No abstract available.