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Scholars Journal of Applied Medical Sciences | Volume-2 | Issue-03
Colposcopic Evaluation of Patients with Persistent Inflammatory Pap Smear
Deepa Shanmugham, Anitha Vijay, Thirupurasundari Rangaswamy
Published: May 28, 2014 |
138
107
DOI: 10.36347/sjams.2014.v02i03.027
Pages: 1010-1013
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Abstract
Inflammatory pap smear is the most common report encountered by the gynaecologist even in healthy cervix.
As per screening guidelines, colposcopy is done only on detection of atypical cells on cytology. This study was carried
out with an aim to evaluate whether persistent inflammatory changes on Pap smear could be the first indication of
premalignant changes in the cervix and whether further evaluation by colposcopy would help to triage these women. 200
women attending the gynaecology clinic were screened with pap smear. Women with inflammatory smear were treated
with antibiotics according to WHO guidelines and a repeat pap smear was taken. Women with persistent inflammatory
smear were subjected to colposcopy and directed biopsy if required. Of the 200 women screened, 169 (84%) had an
inflammatory smear, 72 (36%) had persistent inflammatory smear. These 72 patients underwent colposcopy, and
47(65.28%) of them needed a cervical biopsy. Histopathology in 31(43%) showed a chronic cervicitis picture and 15
patients (20.7%) had a proved premalignant lesion of the cervix. Colposcopic evaluation of patients with persistent
inflammatory pap smear might help us to detect a significant number of cases in premalignant state which are being
missed.