European Journal of Molecular & Clinical Medicine

Abstract

Background: The comprehensive global cancer statistics from International Agency for Research on Cancer indicated that gynaecological cancers accounted for 19% of the 5.1 million estimated new cancer cases, 2.9 million cancer deaths and 13 million 5-year prevalent cancer cases among women in the world in 2002, of which carcinoma Cervix accounted for 4,93,000 new cases and 2,73,000 deaths. More than 80% of cervical cancer was found to occur in developing countries. Among the population based cancer registries Barshi.
Aim & Objective: 1. To screen cervical cancer by conventional papsmear.2. To assess the prevalence of premalignant and malignant lesions of the cervix.3. To correlate the type of pap-smear reports with clinical presentation of the patient
Method: Study design: Prospective study. Study setting:  Department of Obstetrics and Gynecology at tertiary care centre. Study duration:……..Study population: The study population included all women who are more than 21 years of age and sexually active were selected
Sample size: 200
Results: 48% belonged to age less than 30years age group, 30% belonged to 31-40 yrs group, 9% belonged to 41-50 yrs. age group and 13% belonged to age more than 50yrs. 0% belonged to nulliparous group, 15% were para one,39% were para two , 36.5% were para three,8% were para four and1.5% belonged to group of para five. 10% patients has ASCUSpapsmear report,02% has HSIL, and 02% has LSIL, infections were found to be in 13patients.5% patients have unsatisfactory smears. NILM were reported in 70% of the patients. 48% of ASCUS reports belonged to age group of less than 30 years and 30% were of 31 – 40 years age group. 2 patients of HSIL belonged to 31-40 years group, all LSIL also belonged to the same age group. Total 53.8% patients has NILM with infections of age group between 31-40 years and 42.3% reported with infections belonged to age less than 30 years. ASCUS in Pap smear report had healthy cervix that is 65%. In HSIL patients 50% cervical erosion and 50% cervical hypertrophy healthy is seen. 50% of LSIL patients has cervical erosions and 50% has vaginal discharge. Infections were reported in majority in patients with healthy cervix (97.14%).
Conclusions: Carcinoma cervix is a preventable disease, but there is no perfect screening test that has 100% sensitivity and specificity.Pap smear testing is a very useful,simple,economical, and safe tool to detect preinvasive cervical epithelial lesions.