Prevalence of cervical dysplasia in western Uttar Pradesh

Introduction: Cervical intraepithelial neoplasia and cervical cancer remain important health problems. Cervical cytology by Papanicolaou (Pap) smears is an effective means of screening for cervical premalignant and malignant conditions. Aim: The aim of this study was to assess the prevalence of cer...

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Main Authors: Kamna Gupta, Nisha Puniya Malik, Veena K Sharma, Nidhi Verma, Abhilasha Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Cytology
Subjects:
Online Access:http://www.jcytol.org/article.asp?issn=0970-9371;year=2013;volume=30;issue=4;spage=257;epage=262;aulast=Gupta
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author Kamna Gupta
Nisha Puniya Malik
Veena K Sharma
Nidhi Verma
Abhilasha Gupta
author_facet Kamna Gupta
Nisha Puniya Malik
Veena K Sharma
Nidhi Verma
Abhilasha Gupta
author_sort Kamna Gupta
collection DOAJ
description Introduction: Cervical intraepithelial neoplasia and cervical cancer remain important health problems. Cervical cytology by Papanicolaou (Pap) smears is an effective means of screening for cervical premalignant and malignant conditions. Aim: The aim of this study was to assess the prevalence of cervical dysplasia in pre- and postmenopausal women in western Uttar Pradesh and to find out risk factors as far as possible. Materials and Methods: A total of 4,703 cases were enrolled, cervical scrape smears were collected and stained using Papanicolaou′s method and hematoxylin and eosin stain. The emphasis was put on epithelial abnormalities and smears were classified according to The Bethesda System 2001. Results: 81.06% (3812) smears were satisfactory according to The Bethesda System. Maximum numbers of cases (40.37%) were in age group 30-39 years. The epithelial abnormalities constituted 3.23% of all cases. Low-grade squamous intraepithelial lesion (LSIL) formed the largest number (1.36%), while high-grade squamous intraepithelial lesion (HSIL) formed 0.91%. Eleven cases of squamous cell carcinoma (SCC) were detected. The study has shown a relatively high prevalence of epithelial abnormalities in cervical smears with increasing age, parity, early age at first coitus (<20 year), and lower socioeconomic status in symptomatic women with clinical lesions on per speculum examination. Conclusion: Epithelial abnormalities of cervix are not uncommon in our setup and are associated with early age at marriage and parity.
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spelling doaj.art-9eab2c46318a4181a25cfc16a4ed00212022-12-22T00:57:40ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712013-01-0130425726210.4103/0970-9371.126659Prevalence of cervical dysplasia in western Uttar PradeshKamna GuptaNisha Puniya MalikVeena K SharmaNidhi VermaAbhilasha GuptaIntroduction: Cervical intraepithelial neoplasia and cervical cancer remain important health problems. Cervical cytology by Papanicolaou (Pap) smears is an effective means of screening for cervical premalignant and malignant conditions. Aim: The aim of this study was to assess the prevalence of cervical dysplasia in pre- and postmenopausal women in western Uttar Pradesh and to find out risk factors as far as possible. Materials and Methods: A total of 4,703 cases were enrolled, cervical scrape smears were collected and stained using Papanicolaou′s method and hematoxylin and eosin stain. The emphasis was put on epithelial abnormalities and smears were classified according to The Bethesda System 2001. Results: 81.06% (3812) smears were satisfactory according to The Bethesda System. Maximum numbers of cases (40.37%) were in age group 30-39 years. The epithelial abnormalities constituted 3.23% of all cases. Low-grade squamous intraepithelial lesion (LSIL) formed the largest number (1.36%), while high-grade squamous intraepithelial lesion (HSIL) formed 0.91%. Eleven cases of squamous cell carcinoma (SCC) were detected. The study has shown a relatively high prevalence of epithelial abnormalities in cervical smears with increasing age, parity, early age at first coitus (<20 year), and lower socioeconomic status in symptomatic women with clinical lesions on per speculum examination. Conclusion: Epithelial abnormalities of cervix are not uncommon in our setup and are associated with early age at marriage and parity.http://www.jcytol.org/article.asp?issn=0970-9371;year=2013;volume=30;issue=4;spage=257;epage=262;aulast=GuptaCarcinoma cervix; cervical intraepithelial neoplasia; HSIL; LSIL; papanicolaou smear
spellingShingle Kamna Gupta
Nisha Puniya Malik
Veena K Sharma
Nidhi Verma
Abhilasha Gupta
Prevalence of cervical dysplasia in western Uttar Pradesh
Journal of Cytology
Carcinoma cervix; cervical intraepithelial neoplasia; HSIL; LSIL; papanicolaou smear
title Prevalence of cervical dysplasia in western Uttar Pradesh
title_full Prevalence of cervical dysplasia in western Uttar Pradesh
title_fullStr Prevalence of cervical dysplasia in western Uttar Pradesh
title_full_unstemmed Prevalence of cervical dysplasia in western Uttar Pradesh
title_short Prevalence of cervical dysplasia in western Uttar Pradesh
title_sort prevalence of cervical dysplasia in western uttar pradesh
topic Carcinoma cervix; cervical intraepithelial neoplasia; HSIL; LSIL; papanicolaou smear
url http://www.jcytol.org/article.asp?issn=0970-9371;year=2013;volume=30;issue=4;spage=257;epage=262;aulast=Gupta
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