Indian Journal of Public Health Research & Development

  • Year: 2010
  • Volume: 1
  • Issue: 2

A study of spectrum of cervical lesions by papaniculaou staining in rural & sub urban population of National Capital Region

  • Author:
  • Asha Misra1, Savitri Singh2, Ajay Kansal3, Poonam Mani1
  • Total Page Count: 3
  • DOI:
  • Page Number: 12 to 14

1Department of Obstetrics and Gynecology, Saraswathi Institute of Medical Sciences,(SIMS) Hapur, Ghaziabad, U.P., India.

2Department of Pathology, Saraswathi Institute of Medical Sciences,(SIMS) Hapur, Ghaziabad, U.P., India.

3Department of Pathology, Saraswathi Institute of Medical Sciences, SIMS Hapur, Ghaziabad, U.P., India.

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Abstract

Cancer cervix is an important health problem among adult women in developing countries including India, is a well recognized fact. A cohort of 630 symptomatic women from Rural and Sub Urban area belonging to lower socio – economic status underwent visual inspection and conventional Pap test. A subset of hundred asymptomatic cases screened with liquid based cytology. Early marriage (76.5%) is prevalent in rural population thus youngest case registered was of 20 years. Parity more than five was present in 57.9%. Pap test was repeated in all cases of infections (72.85%) after four to six months of treatment. Cervical erosion (45%) was a frequent finding on examination, in study group. Cases with ASUS (14), AGUS (5), LSIL (67), are being followed & HSIL (6) were treated. Invasive carcinoma was seen in ten cases of study group. The higher detection rate of ASCUS (305.41) & HSIL (215.79) was observed in subset with liquid based cytology. Though conventional Pap test is an excellent test but there is need for opportunistic screening programme with more screening tools in rural population.

Keywords

Cervix, cytology, vaginal smear, screening, Pap test, CIN, HPV, Cervical Cancer, Mass Screening, visual aid diagnosis, Polar probe, liquid based cytology