A Study on Cervical Cancer Screening Using Pap Smear Test in a Tertiary Care Centre

ABSTRACT

Aim: To evaluate women for precancerous and cancerouslesions of the cervix using the Pap smear test with specialreference to their correlation with age and clinical profile.Materials and Methods: This is a retrospective studyconducted at cytopathology section of Department ofPathology at Jawaharlal Nehru Medical College, Ajmer. 550smears were studied ranging from 18-90 year age group over aperiod of five months from July 2018 to November 2018. Theentire cervical smear received during this period were included.Results: A total of 550 cases were screened. There were 485(88.18%) abnormal pap smear with 43(7.81%) normal papcases and 22 (4%) cases were inadequate for evaluation. Outof 485 abnormal cases 337(69.48%) showed inflammation,8(1.64%) cases of atrophic smear, 5(1.03%) cases of ASCUS,3 (0.61%) cases of HSIL, 6 (1.23%) cases of LSIL, 3 (0.61%)cases of candida, 101 (20.82%) cases of bacterial vaginosis, 1(0.20%) case of erosion cervix, 2 (0.41%) cases of prolapse, 2(0.41%) cases of mild to moderate dysplasia, 5(1.03%) casesof reactive atypia, 1 (0.20%) case of intraepithelial neoplasm, 1(0.20%) case of atypical glandular cell, 6 (1.23%) cases ofmoderate to well differentiated SCC and 1 (0.20%) case ofchronic granulomatous disease were seen.Conclusion: Women between age group 30-49 years aremostly affected by pre-cancerous lesion. Every woman in thisage group should undergo Pap test at least once in her life.Timely screening of pre-invasive lesion allow prevention frominvasive cervical cancer.