DOI: 10.36347/sjams.2016.v04i09.057

Pages: 3449-3453

The objective was to assess the correlation of pap smear and colposcopy in relation to histopathological findings in detection of premalignant lesions of cervix. A total of 200 women with lesions of cervix were recruited for the study. Pap smear and colposcopy was performed in all the patients. Final correlation of pap smear and colposcopy were based on histopathology. Majority of patients in our study presented with complains of white discharge 119 (59.5%) out of 200 women. Followed by complains of post coital bleeding (15.5%), irregular menstrual cycles (10.5%) and intermenstrual bleeding(10.5%). In our study sensitivity of pap smear was lower(50%) than colposcopy which had high sensitivity(96.42%) and specificity of pap smear was higher (86.62%) than colposcopy (39.53%) respectively. Pap smear, colposcopy and directed cervical biopsy together are useful and complementary in arriving at a correct diagnosis. Benign cervical erosions respond well to local/ systemic antibiotics. Premalignant lesions need local ablative therapy and subsequent follow up. Hence the study concludes that screening programme and awareness regarding cervical cancer should be enhanced at the grass root level.