Pap Smear Screening for Cervical Cancer in a Tertiary Care Hospital - A Retrospective Study

Aakanksha Koul¹, Chaithra H², Shivani Sudhakar³

¹, ² Assistant Professor, Department of Pathology,
³ Postgraduate, Department of Obstetrics and Gynaecology
Sri Siddhartha Medical College & Research Centre, Tumakuru,
Sri Siddhartha Academy of Higher Education, Tumakuru.

DOI-10.46319/RJMAHS.2020.v03i02.003
Abstract
Background: Carcinoma cervix is the 2nd commonest cancer in the world among women. It is the commonest carcinoma causing death of women in developing countries. 14% of all female carcinoma cases in India are cervical carcinomas. This study aims at screening of women for cervical cancer and to evaluate different types of malignant and benign lesions of cervix by Conventional Pap smear. Material and methods: This is a retrospective study of Conventional Pap Smear screening done for 4 months duration. The data was collected from 1,000 patient records during the study period. The results were classified according to The Bethesda System (2014). Results: Out of 1,000 cervical smears, 27 cases (2.8%) were Low grade Squamous Intraepithelial Lesion (L-SIL), 14 cases (1.4%) were High grade Squamous Intraepithelial Lesion (H-SIL), and 05 cases (0.5%) were Squamous Cell Carcinoma (SCC). The premalignant lesions were seen mostly between 30-70 years of age. Conclusions: Conventional Pap Smear is a widely accepted and economical screening procedure for early detection of cervical precancerous lesions in developing countries. Pap Smear screening should be introduced at 30 years of age and subsequent follow up with Human Papilloma Virus (HPV) DNA testing done at higher centre.

Keywords: Pap smear, Carcinoma cervix, H-SIL, L-SIL, Bethesda , Squamous Cell Carcinoma.