Study of Age Wise Distribution of Preneoplastic and Neoplastic Lesions of Cervix by Using Conventional Pap Smear

ABSTRACT

Background: Carcinoma of cervix is one of the most common cause of cancer related deaths among women in developing countries. Adoptions of healthy life style and extensive screening by Conventional Pap smear followed by early intervention have resulted in decline in death rates by cervical cancer. Aims: The aim of this study was to know the incidence of preneoplastic and neoplastic lesions of cervix in various age groups by using Conventional Pap smear. Methods: A retrospective observational study carried out in the Department of Pathology, Chirayu Medical College & Hospital, Bhopal from January to April 2018. All the cases (n= 268), from May 2015 to April 2018, reported in Conventional Pap smear as preneoplastic lesions and invasive malignancies were retrieved from hospital medical record and Lab Information System (LIS). Results: Highest number of cases 93 (34.7%) of both preneoplastic and neoplastic lesions were found in the age range of 41-50 years. We had 19 cases (7%) of preneoplastic lesions and zero cases of invasive malignancy in the age range of 21-30 years, 31 cases (11.5%) of both preneoplastic and invasive malignancy in >60 years of age. Conclusion: Conventional Pap smear is cost effective, simple and easily applicable method which can be performed on OPD basis. It should start at a younger age so that preneoplastic and neoplastic lesions can be diagnosed in an early stage.