Screening for CIN amongst attendants of Al-Sabeen Hospital, Sana'a

ABSTRACT

Screening for CIN in attendants of a Yemeni Hospital. Prospective and descriptive study. Al Sabeen Maternity Hospital, Sana'a, Yemen. Patients Out of 13, 521 attendants, 316 were in the high-risk group for CIN and cancer cervix. They were the subjects of this study. Intervention Cervico-vaginal smear, including endocervical sampling, colposcopy and directed biopsy for histopathology, were done to all patients included in this study. Atypical smear was found in 58 cases, but only 16 of them proved to have CIN I or CIN I - II. Colposcopy showed abnormal findings in 113 cases including all of the 28 cases of pathologically - proved CIN - cases. Invasive cancer cervix was found in 3/13, 521 = 22.18/100.000 women. This might be an overestimation as the hospital is the largest referral hospitals in Sana'a-High-risk factors include early age at marriage, high parity. Illiteracy and lower socio - economic status. Khat-chewing was not found to be a risk factor in this concern. The need for screening of hospital attendants for CIN is valid, but periodic checking for this lesion in the whole population is not cost - effective.