A Clinicopathological Correlation of Pap Smear Findings in Gynecological Cases: A Retrospective Study

Aim: The present study is intended to detect the significance of epithelial cell abnormalities (ECA) identified during cervical smear screening and correlate it with clinical findings. Materials and Methods: Detailed clinical data and pap smear cytology was obtained of 1000 patients attending obstetrics and gynaecology O.P.D between 2014 -2015 with various gynecological problems . All the smears were reported as per the 2001 Bethesda system. Results: Among 1000 screened patients 108 (10.8%) patients showed abnormal findings . Age group of 40-49 yrs showed 38.8% abnormal reports . Among them 10 (9.25%) having LSIL and 8 (7.4%) having ASCUS. Age group 30-39 yrs 25(25.14%) showed abnormal results . In this group 12 (11.11%) showing LSIL and 10 (9.25%) having ASCUS in their reports. ASCUS –H was in 10 (9.25%) cases and AGUS was in 5(4.6%).LSIL was present in 35(32.40%) smears and HSIL contributing only 10 (9.25%) of cases. Conclusion: Need of widespread public awareness programmes for early detection and treatment of cervical cancer. Health education, screening and follow up of the patients should be part of health programmes .