A retrospective analysis of cervical smears for detection of precancerous lesions

<p class="p"><strong>Background</strong><strong>:  </strong>Diseases of the cervix are common in women. Detection of neoplastic lesions is of prime importance in the evaluation of cervical smears although their frequency is less than the non-neoplastic conditi...

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Main Authors: A Jha, AK Chaurasia
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2015-09-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:http://www.nepjol.info/index.php/JPN/article/view/15641
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author A Jha
AK Chaurasia
author_facet A Jha
AK Chaurasia
author_sort A Jha
collection DOAJ
description <p class="p"><strong>Background</strong><strong>:  </strong>Diseases of the cervix are common in women. Detection of neoplastic lesions is of prime importance in the evaluation of cervical smears although their frequency is less than the non-neoplastic conditions. Reactive and inflammatory conditions, however, may mimic or obscure the dysplastic changes. The aim of this study was to evaluate the frequencies of various inflammatory, reactive and neoplastic   lesions in the cervical smears.</p><p class="p"><strong>Materials and Methods</strong>: This was a retrospective study of 150 cases of cervical smears collected from medical record section of the hospital and Department of Pathology at National Medical College from April 2013 to April 2015.</p><p class="p"><strong>Results: </strong>Of 150 patients who underwent cervical cytology, only 15 cases (10%) had epithelial cell abnormalities. This was followed by reactive cellular changes associated with inflammation (16.7%), infections (5.3%) and atrophy (1.3%). Low grade squamous intraepithelial lesion (6%) was the most common epithelial cell abnormality followed by high grade squamous intraepithelial lesion (2%), atypical glandular cells (1.3%) and squamous cell carcinoma (0.7%).</p><p class="p"><strong>Conclusion: </strong>Reactive changes including atrophy were the commonest finding. Squamous intraepithelial lesion was commonest finding among epithelial abnormalities. Glandular intraepithelial lesions and squamous cell carcinoma were also identified. Among infections Trichomoniasis  and candidiasis  were seen.</p>
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spelling doaj.art-cb71d0a357d94c9d8cfa3d8f6918b4092022-12-22T03:16:17ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082015-09-0151084784910.3126/jpn.v5i10.1564112135A retrospective analysis of cervical smears for detection of precancerous lesionsA Jha0AK Chaurasia1Maharajgunj Medical Campus, TU, IOM, Kathmandu, NepalNational Medical College, Birgunj, Nepal<p class="p"><strong>Background</strong><strong>:  </strong>Diseases of the cervix are common in women. Detection of neoplastic lesions is of prime importance in the evaluation of cervical smears although their frequency is less than the non-neoplastic conditions. Reactive and inflammatory conditions, however, may mimic or obscure the dysplastic changes. The aim of this study was to evaluate the frequencies of various inflammatory, reactive and neoplastic   lesions in the cervical smears.</p><p class="p"><strong>Materials and Methods</strong>: This was a retrospective study of 150 cases of cervical smears collected from medical record section of the hospital and Department of Pathology at National Medical College from April 2013 to April 2015.</p><p class="p"><strong>Results: </strong>Of 150 patients who underwent cervical cytology, only 15 cases (10%) had epithelial cell abnormalities. This was followed by reactive cellular changes associated with inflammation (16.7%), infections (5.3%) and atrophy (1.3%). Low grade squamous intraepithelial lesion (6%) was the most common epithelial cell abnormality followed by high grade squamous intraepithelial lesion (2%), atypical glandular cells (1.3%) and squamous cell carcinoma (0.7%).</p><p class="p"><strong>Conclusion: </strong>Reactive changes including atrophy were the commonest finding. Squamous intraepithelial lesion was commonest finding among epithelial abnormalities. Glandular intraepithelial lesions and squamous cell carcinoma were also identified. Among infections Trichomoniasis  and candidiasis  were seen.</p>http://www.nepjol.info/index.php/JPN/article/view/15641LSILHSILAGCPapTrichomonasHuman Papilloma Virus
spellingShingle A Jha
AK Chaurasia
A retrospective analysis of cervical smears for detection of precancerous lesions
Journal of Pathology of Nepal
LSIL
HSIL
AGC
Pap
Trichomonas
Human Papilloma Virus
title A retrospective analysis of cervical smears for detection of precancerous lesions
title_full A retrospective analysis of cervical smears for detection of precancerous lesions
title_fullStr A retrospective analysis of cervical smears for detection of precancerous lesions
title_full_unstemmed A retrospective analysis of cervical smears for detection of precancerous lesions
title_short A retrospective analysis of cervical smears for detection of precancerous lesions
title_sort retrospective analysis of cervical smears for detection of precancerous lesions
topic LSIL
HSIL
AGC
Pap
Trichomonas
Human Papilloma Virus
url http://www.nepjol.info/index.php/JPN/article/view/15641
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