Post-cervical conization pap-smear examination.

ABSTRACT

Out of 68,240 slide of total Pap smears at Cytological Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, fron January 18, 1988 to October 31, 1989, 288 (0.4%) slides of Pap smears from post-cervical conization patients were examined. The median age was 32 years, the mean age was 35.5+10.5 years and the range of ages was between 19-73 years. They were carcinoma in situ (44.4%), severe dysplasia (6.3%), morderate dysplasia (4.5%) and normal (3.5%). Cytological diagnosis were normal (39.6%), infection and inflammation (39.6%), moderate dysplasia (4.2%), severe dysplasia (4.5%), carcinoma in situ (3.8%), non-keratinized squamous cell carcinoma (1.0%) and inadequate specimen (37.8%). Histological examination in abnormal Pap smears was 4.2% that had 1.7% of abnormal results (1 case of carcinoma in situ, 1 case of adenocarcinoma in situ, 1 case of atypical hyperplasia of endocervix and 2 case of severe dysplasia.