Prevalence of cervical dysplasia in western Uttar Pradesh

Introduction: Cervical intraepithelial neoplasia and cervical cancer remain important health problems. Cervical cytology by Papanicolaou (Pap) smears is an effective means of screening for cervical premalignant and malignant conditions. Aim: The aim of this study was to assess the prevalence of cerv...

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Bibliographic Details
Published in:Journal of cytology 2013-10, Vol.30 (4), p.257-262
Main Authors: Gupta, Kamna, Malik, Nisha, Sharma, Veena, Verma, Nidhi, Gupta, Abhilasha
Format: Article
Language:English
Subjects:
Age
Carcinoma cervix
cervical intraepithelial neoplasia
HSIL
LSIL
papanicolaou smear
Cervical cancer
Cervix dysplasia
Hindus
Human papillomavirus
Medical screening
Original
Postmenopausal women
Prevalence studies (Epidemiology)
Religion
Socioeconomic factors
Studies
Women
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Summary:Introduction: Cervical intraepithelial neoplasia and cervical cancer remain important health problems. Cervical cytology by Papanicolaou (Pap) smears is an effective means of screening for cervical premalignant and malignant conditions. Aim: The aim of this study was to assess the prevalence of cervical dysplasia in pre- and postmenopausal women in western Uttar Pradesh and to find out risk factors as far as possible. Materials and Methods: A total of 4,703 cases were enrolled, cervical scrape smears were collected and stained using Papanicolaou′s method and hematoxylin and eosin stain. The emphasis was put on epithelial abnormalities and smears were classified according to The Bethesda System 2001. Results: 81.06% (3812) smears were satisfactory according to The Bethesda System. Maximum numbers of cases (40.37%) were in age group 30-39 years. The epithelial abnormalities constituted 3.23% of all cases. Low-grade squamous intraepithelial lesion (LSIL) formed the largest number (1.36%), while high-grade squamous intraepithelial lesion (HSIL) formed 0.91%. Eleven cases of squamous cell carcinoma (SCC) were detected. The study has shown a relatively high prevalence of epithelial abnormalities in cervical smears with increasing age, parity, early age at first coitus (
ISSN:0970-9371
0974-5165
DOI:10.4103/0970-9371.126659