Analysis of Abnormal Epithelial Lesions in Cervical Papsmears: Tertiary Care Hospital

Abstract

Introduction: Pap smear is a simple, convenient, cost effective and reliable test for early screening of cervical lesions. This test not only plays a crucial role in the detection of cervical cancer and its precursor lesions but also aids in interpretation of various physiological changes as well such infective conditions.Methods: Present study consists of 730 pap smears received at Pathology Department, Medical College, Baroda from January 2019 to December 2020. The smears were reported according to ‘The Bethesda system of reporting cervical cytology (2014)’. Results: Mean age was 39.13 year. Maximum number of patients (272/730 = 37.26%) were in the age group of 31–40 years. Out of total 730 cases, there were 82 (11.23%) unsatisfactory smears and 648(88.77%) adequate/satisfactory smears. Among satisfactory cases, 570 cases showed NILM while 78 cases showed Epithelial cell abnormality (ECA).Conclusion: Pap smear is highly effective screening tool for early detection of premalignant and malignant lesions of the cervix, thus helping in prompt treatment at an early stage and reducing the mortality and morbidity associated with cervical malignancy.