An Observational Assessment of the Role of Colposcopy and Paps Smear in Cervical Carcinoma Screening
Authors/Creators
- 1. Senior Resident Department of Obstetrics and Gynaecology, PMCH, Patna, Bihar, India
Description
Aim: The aim of the present study was to evaluate screening of cervical carcinoma by paps smear and colposcopy.
Methods: This study was conducted in Department of Obstetrics and Gynecology for the period of 6 months.
The study constituted 100 women as subjects who attended the Gynecology OPD as well as ones admitted in
gynecology ward at hospital fulfilling the inclusion and exclusion criteria.
Results: Among 100 patients, 19% belongs to age group of 20-30 years, 52% among 31-40 years, 15% among
41-50 years, 14% among 51-60 years age group. The maximum cases belong to 31-40 years age group with mean
age 36.04 years. According to Modified Kuppu-swamy classification, 56% of women were of Upper-lower class,
24% were of Lower-middle class and 20% were of Lower class. Significant differences noted between different
classifications and age at 1st coitus, therefore, premalignant lesions are commonly associated with 1st coital
history at an early age of life. On colposcopy examination, most of the cases show neoplastic proliferation (58
cases, 58%). Among them, most cases were diagnosed as cervical intraepithelial neoplasia-I (CIN-I). 46 cases
(46%) were non-neoplastic.
Conclusion: Colposcopy and pap smear test is widely accepted screening method. These are cost-effective noninvasive test for early detection of cervical malignancy and may be practiced in rural areas effectively. These may
be highly effective to reduce the mortality and morbidity from cervical malignancy.
Abstract (English)
Aim: The aim of the present study was to evaluate screening of cervical carcinoma by paps smear and colposcopy.
Methods: This study was conducted in Department of Obstetrics and Gynecology for the period of 6 months.
The study constituted 100 women as subjects who attended the Gynecology OPD as well as ones admitted in
gynecology ward at hospital fulfilling the inclusion and exclusion criteria.
Results: Among 100 patients, 19% belongs to age group of 20-30 years, 52% among 31-40 years, 15% among
41-50 years, 14% among 51-60 years age group. The maximum cases belong to 31-40 years age group with mean
age 36.04 years. According to Modified Kuppu-swamy classification, 56% of women were of Upper-lower class,
24% were of Lower-middle class and 20% were of Lower class. Significant differences noted between different
classifications and age at 1st coitus, therefore, premalignant lesions are commonly associated with 1st coital
history at an early age of life. On colposcopy examination, most of the cases show neoplastic proliferation (58
cases, 58%). Among them, most cases were diagnosed as cervical intraepithelial neoplasia-I (CIN-I). 46 cases
(46%) were non-neoplastic.
Conclusion: Colposcopy and pap smear test is widely accepted screening method. These are cost-effective noninvasive test for early detection of cervical malignancy and may be practiced in rural areas effectively. These may
be highly effective to reduce the mortality and morbidity from cervical malignancy.
Files
IJCPR,Vol15,Issue9,Article94.pdf
Files
(298.2 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:9dc7edb0e57412cfd2de6122dd583668
|
298.2 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-07-29