DOI: 10.36347/sjams.2016.v04i12.036

Pages: 4368-4371

Cervical cancer is the second most common cancer among the women in the developing countries (India). It is preventable by regular Pap smear screening and further management accordingly. The aim is to study the spectrum of squamous epithelial lesions and their prevalence among different age groups. This is a cross sectional, hospital based study done in a tertiary care hospital at Puducherry. This retrospective study was carried for a period of one year (2012). The patients presenting with complaints of vaginal discharge, backache, pain hypogastrium, dyspareunia and post coital bleeding were included in the study. Unsatisfactory smears, age < 21 yrs, pregnancy, women who underwent hysterectomy, women with vaginal bleeding were excluded. The smears were reported according to the 2001 Bethesda system. Out of 261 cases, 240(91.95%) were reported as Negative for intraepithelial lesion and 21(8.04%) cases were found to be abnormal pap smears - 15(5.74%) cases of LSIL, 2(0.76%) cases of HSIL and 4(1.53%) cases of ASCUS . Their prevalence among different age groups was - 161(61.68%) in reproductive age group, 55(21%) in perimenopausal age group and 45(17.24%) in postmenopausal age group. Abnormal cervical lesions can be diagnosed early by Pap smear examination. The prevalence of the abnormal smears was found to be more among perimenopausal age group followed by postmenopausal and then the reproductive age groups.