CYTOLOGICAL PATTERN AND DEMOGRAPHIC DETERMINANTSOF CERVICAL CYTOLOGY (PAPANICOLAOU SMEAR) IN A TERTIARY CENTRE OF CENTRAL INDIA
Dr. Geeta Katheit* and Dr. Shilpa Tiwari
ABSTRACT
Background: Cervical cancer is the third most common cancer affecting women worldwide. It is the most common cancer in women in several less developed countries, and now the second most common cancer in India. Almost 70% of the global burden of cervical cancer is in areas with lower levels of development, and more than one fifth of all new cases are diagnosed in India. Cervical cytology test (Papanicolaou smear) has traditionally been the primary screening method for cervical cancer. Aims: This study was aimed at evaluating prevalence of cervical cytological abnormalities and their demographic determinants in women who underwent cervical cytological screening at dept. of OBGY AIIMS BHOPAL. Settings and Design: A hospital based cross sectional study was designed to evaluate all cervical smears done at dept. of OBGY AIIMS BHOPAL from Jan 2014 to Dec 2014. Materials and Methods: We analysed the reports of all patients who had undergone cervical cytology test during this period as per the Bethesda nomenclature. Results and conclusions: A total of 1887 Pap smears were taken. 25 cases (1.31% with CI= 0.95-1.95) reported to have epithelial cell abnormality. The most frequent abnormality was ASCUS (0.48%). The prevalence of squamous cell carcinoma was 0.05%.
Keywords: Papanicolaou smear, cervical cytology, Cancer screening, The Bethesda system.
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