Clinico-pathological Analysis of Cervical Pap Smear in Patients Attending Gynecology OPD of a Medical College
Background: Cervical cancer ranks the most common cancer among
Nepalese women. Cervical and vaginal infections constitute the most
common gynecological problems. Through Pap smear screening, early
diagnosis, follow up and treatment, morbidity and mortality can be
reduced by 70% and 80% respectively.
Methods: This retrospective study was conducted to know the incidence
of abnormal cervical epithelial lesions and cervico-vaginal infections. It
was carried out in the Outpatient Department of Gynecology at Chitwan
Medical College from April 2018 to March 2019. The data were collected
and standard statistical analysis done using Microsoft Excel 2007.
Results: The most prevalent cervical epithelial cell abnormality was
atypical squamous cells of undetermined significance (3.43%) whereas the
least common was low grade squamous intraepithelial lesion (0.21%). The
most prevalent cervical vaginal infection was Bacterial vaginosis (12.30%)
whereas the least prevalent was Trichomoniasis (0.29%). The majority of
the women with epithelial cell abnormality were in the age group of 31-40
years whereas the lowest number in the age group less than 20 years. The
highest prevalence of cervical vaginal infection was in the reproductive
age group (31-50 years) and the lowest in the age above 51 years. Most of
the patients had multiple symptoms like vaginal discharge, genital itching,
whereas only (20.17%) visited for routine screening.
Conclusion: Atypical squamous cells of undetermined significance and
Bacterial vaginosis were the most common findings in Pap smear test
representing abnormal cytology of cervix and cervicovaginal infection
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