International Journal of Health Sciences and Research

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Original Research Article

Year: 2018 | Month: January | Volume: 8 | Issue: 1 | Pages: 20-24

Study of Cervical Cytology in Papanicolaou Smears In a Newly Established Tertiary Care Center in Eastern Region of Nepal

Reena Rana1, Mrinalini Singh1, Krishna Kumar Jha1, PrijaPoudyal2, Santosh Uphadhya Kafle3

1Lecturer, 2Consultant pathologist, 3Associate Professor,
Department of Pathology, Birat Medical College and Teaching Hospital, Morang, Nepal

Corresponding Author: Reena Rana


Background: Cancer cervix is one of the leading causes of mortality in women worldwide as well as the leading cause of morbidity and mortality in developing countries like Nepal. It can be prevented if it is diagnosed in early stage. The aim of this study was to analyze cytological findings of cervical papanicolaou (pap) smear.
Methods: A retrospective study was conducted at Birat Medical College Teaching Hospital during one year period from 13 April 2016 to 12 April 2017. All the smears were reported as per the 2014 Bethesda system in conventional cervical Pap smear. All the cases were reviewed by all the pathologist of Birat Medical College Teaching Hospital.
Result: Total cases were 240 in one year period in which 225 cases (93%) were satisfactory for evaluation and 15 cases (6.25%) were unsatisfactory for evaluation which is due to thick neutrophilic exudates, mucous, degenerative cells and hemorrhage. Most common age group in this study was (31-40years) 97cases (40.4%). Negative for intraepithelial lesion or malignancy, 219 cases (91.2%) and only 6cases (2.5%) showed abnormality in squamous cells comprising atypical squamous cells of undetermined significance [ASCUS] (n=3, 1.24%), low grade squamous intraepithelial lesion [LSIL] (n=2,0.83%) and high grade squamous intraepithelial lesion [HSIL] (n=1, 0.4%).
Conclusion: Simple screening test like cervical papanicolaou smear (Pap) can detect the abnormality of epithelial lining of cervix.

Key words: Pap smear, Bethesda system, Cancer cervix

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