1Assistant Professor, Koppal Institute of Medical Sciences, Koppal
2Associate Professor, Koppal Institute of Medical Sciences, Koppal
*Corresponding Author: Email: drvijayashreen@gmail.com
Online published on 10 October, 2016.
Cervical cancer in women living with Human Immunodeficiency Virus (HIV) is a major health problem accounting for 26.1–43.8% of all cancers in Indian Women. Women infected with HIV have a higher risk of developing cervical intraepithelial neoplasms. Dysplasia has been reported in 15 to 64.6% of HIV infected women & these rates are 10–12 times higher than those observed among HIV negative women 13%.
The aim of this study is to estimate the frequency of abnormal Papanicolau (Pap) smears and mainly to detect precancerous & cancerous lesions as well as inflammatory lesions in HIV-infected women.
Total 68 samples were collected. Pap smear abnormalities included LSIL(10.2%). HSIL(4.4%), ASCUS(8.8%), ASCH(2.9%), Carcinoma(1.4%), Specific Infections 33.8% (Bacterial Vaginosis-19.1%, Trichomonas Vaginalis-5.8%, Candidiasis5.8%, Herpes Simplex-2.9% Cytolytic smear-1.4%), Non-specific Inflammatory smear (36.7%).
In view of high percentage of inflammatory Pap smears, infections and cervical intraepithelial lesions among HIV positives women. Among the various intraepithelial lesions LSIL was the commonest, stressing the need for routine pap smear testing annually in women living with HIV.
HIV, Pap smear, patient living with HIV, Cervical intraepithelial neoplasia
