DOI: 10.36347/sjams.2017.v05i11.050

Pages: 4567-4571

Carcinoma of the cervix is the most common cancer of women in developing countries like India. The Pap smear screening is an effective method for identifying intra epithelial lesions of cervix. Our aim was to study the types of different cervical epithelial lesions in patients of KIMS Hospital, Bhubaneswar. This is a prospective study of all the cervical pap smear cases reported to the Department of Pathology, KIMS, BBSR. The duration of study was from January 2015 to December 2016. Total 1263 cases were included in this study. 19 (1.5%) cases were unsatisfactory. So, total 1244 cases were reported. Most of the patients were in between 41-50 years (41%). Common age group of the abnormal epithelial lesions was between 50 to 70yrs. NILM was the commonest presentation (1167 cases,93.8%), out of which normal smear was 604 (51.7%) cases , inflammatory smears 417 (35.7%) cases, candidiasis 5(0.4%) cases, bacterial vaginosis 118(10.1%) cases and atrophic smear 23 cases(1.9%). 77(6.2%) cases were abnormal epithelial lesions. The overall incidence (out of total cases reported) of ASCUS, ASC-H, AGUS-NOS, LSIL, HSIL and SCC were 2.7%, 0.3%, 0.4%, 0.9%, 0.5% and 1.4% respectively. This study concludes that cervical Pap smear test is very helpful in early diagnosis of cervical cancer and its precursor lesions. It is a simple, safe, inexpensive and painless method for diagnosis of the precancerous lesions as well as carcinoma of cervix.