Management of abnormal Pap smears in reproductive age group

Abstract

Background: Human Papilloma Virus has garnered a great deal of attention in the gynaecologic literature over the past decade, primarily as it relates to abnormal pap smears. Cervical cancer is the leading cause of death in women in developing countries like India. It is preventable by regular screening by Pap smear and can be detected at pre-invasive stage. Thus, reducing the morbidity and mortality related with cervical cancers. Objective: This study aims at detecting the prevalence and current trends of various epithelial cell abnormalities (ECAs) in females of reproductive age group in a medical college hospital. Materials and Methods: This is a retrospective study conducted in a medical college hospital between August 2017 and July 2019. A total of 6,104 cases comprising 4,880 conventional and 1224 liquidbased cytology Pap smears were included in the study. Clinical data and history of the patients were retrieved. All cases were reported according to Bethesda system 2014. Results: Among 6,104 cases, 163 Pap smears were unsatisfactory, 5816 Pap smears were negative for intraepithelial lesion/malignancy, and 124 cases had ECA.