CORRELATIONAL ANALYTICAL STUDY OF SYMPTOMATOLOGY, PAP AND COLPOSCOPIC FINDINGS IN REPRODUCTIVE AGE GROUP WOMEN IN A TERTIARY CARE CENTRE
Background- The current study is done to study cervical epithelial changes in a reproductive age group women at tertiary care centre through investigation modality called pap smear and its correlation with various symptoms and colposcopic findings.Methods: A retrospective analytical study of 79 women of reproductive age group was done at CAMA AND ALBLESS HOSPITALS. The cervical smear was taken from all patients using the Ayres spatula by scrape cytology method. Colposcopy was done for patients with highly suspicious malignant and unhealthy cervix and with inflammatory pap smear not relieved on antibiotics. Finally cervix biopsy was done for cases for suspected malignancy on pap smear .Results: Inflammatory smears were seen in 35.44 % , ASCUS in 5.06%, LSIL in 3.7% and invasive carcinoma in 5.06% patients. The patients having white discharge pv or menorrhagia had ASCUS and AGCUS on PAP smear which had squamous metaplasia (3.3%) , HPV infection (1.6%)and invasive cancer. HSIL and Invasive carcinoma showed invasive carcinoma. Conclusions: The Pap smear is a simple, safe, practical and cost-effective method for early detection of cervical cancer and its precursors. In low resource countries like India, it is the most logical screening modality although it has a very low sensitivity, but detection rates could be further improved using liquid-based cytology and the use of endocervical cytobrush.
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