CERVICAL CYTOLOGY PATTERNS AT TERTIARY CARE CENTER IN URBAN SETTING OF PAKISTAN

Abstract

Background: Cervical cancer is regarded as a second most common cancer among women. In developing countries, a disproportionate influence of cervical cancer has accounted approximately 85% of the cases. Identification cytological findings in these women are of utmost importance. Studies reported that proper screening program is not implemented for our population, while the opportunistic contact of women to the doctor can be utilized to screen these females.

Methods:

This cross-sectional study was carried out at Department of Gynecology and Obstetrics, Ziauddin University and Hospitals from April to September 2016.Total of 370 women age 18-65 years, sexually active were included. Pap smear was taken after taking informed consent. Sample was stored; reports were checked and documented on Performa.
Results: The mean age of the patients was 39.54±12.9 years. The mean sexual debut of the patients was 10.02±9.8years. Squamous cell carcinoma and Intraepithelial lesions were observed in none (0%) of the patients. Atypical squamous cell carcinoma-cannot exclude HSIL was observed in 1 (0.3%), low grade squamous intraepithelial lesions in 2 (0.5%), high grade squamous intraepithelial lesions in 1 (0.3%) while atypical glandular cells not otherwise specified was also observed in 1 (0.3%) patients.

Conclusion:

The finding of this study has revealed positive cytological findings in five patients. In particular, low grade squamous intraepithelial lesions were found higher followed by high grade squamous intraepithelial lesions, atypical squamous cell carcinoma-cannot exclude HSIL and atypical glandular cells not specified.