Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait

Objectives: This study aimed to analyse trends in epithelial cell abnormalities (ECAs) in cervical cytology at a tertiary care hospital in Kuwait. Methods: ECAs in 135,766 reports were compared over three seven-year periods between 1992 and 2012. Conventional Papanicolaou (Pap) smear tests were used...

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Main Authors: Kusum Kapila, Prem N. Sharma, Sara S. George, Azza Al-Shaheen, Ahlam Al-Juwaiser, Rana Al-Awadhi
Format: Article
Language:English
Published: Sultan Qaboos University 2015-01-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:http://web.squ.edu.om/squmj/includes/tng/pub/tNG_download.asp?id=fdbdbcec9a7c454182db64240fd42e23
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author Kusum Kapila
Prem N. Sharma
Sara S. George
Azza Al-Shaheen
Ahlam Al-Juwaiser
Rana Al-Awadhi
author_facet Kusum Kapila
Prem N. Sharma
Sara S. George
Azza Al-Shaheen
Ahlam Al-Juwaiser
Rana Al-Awadhi
author_sort Kusum Kapila
collection DOAJ
description Objectives: This study aimed to analyse trends in epithelial cell abnormalities (ECAs) in cervical cytology at a tertiary care hospital in Kuwait. Methods: ECAs in 135,766 reports were compared over three seven-year periods between 1992 and 2012. Conventional Papanicolaou (Pap) smear tests were used in the first two periods and ThinPrep (Hologic Corp., Bedford, Massachusetts, USA) tests were used in the third. Results: Significant increases in satisfactory smears, atypical squamous cells of undetermined significance (ASCUS) and atypical glandular cells of undetermined significance/atypical glandular cells (AGUS/AGCs) were seen in the second and third periods (P <0.001). No significant increases were observed among low-grade squamous intraepithelial lesions (LSILs) or high-grade squamous intraepithelial lesions (HSILs) (P >0.05). An increase was noted in carcinomas between the first and second periods although a significant decline was seen in the third (P <0.014). Conclusion: Satisfactory smears, ASCUS and AGUS/AGC increased during the study period although no significant increases in LSILs, HSILs or carcinomas were observed.
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spelling doaj.art-e19f7acb58934513b3a2d17430406d022022-12-22T03:20:46ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282015-01-01151e112115Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in KuwaitKusum Kapila0Prem N. Sharma1Sara S. George2Azza Al-Shaheen3Ahlam Al-Juwaiser4Rana Al-Awadhi5Department of Pathology, Faculty of Medicine, Kuwait University, Safat, KuwaitHealth Science Centre, Faculty of Medicine, Kuwait University, Safat, KuwaitDepartment of Pathology, Faculty of Medicine, Kuwait University, Safat, KuwaitCytopathology Laboratory, Mubarak Al-Kabeer Hospital, Safat, KuwaitCytopathology Laboratory, Mubarak Al-Kabeer Hospital, Safat, KuwaitFaculty of Allied Health Sciences & Nursing, Kuwait University, Safat, KuwaitObjectives: This study aimed to analyse trends in epithelial cell abnormalities (ECAs) in cervical cytology at a tertiary care hospital in Kuwait. Methods: ECAs in 135,766 reports were compared over three seven-year periods between 1992 and 2012. Conventional Papanicolaou (Pap) smear tests were used in the first two periods and ThinPrep (Hologic Corp., Bedford, Massachusetts, USA) tests were used in the third. Results: Significant increases in satisfactory smears, atypical squamous cells of undetermined significance (ASCUS) and atypical glandular cells of undetermined significance/atypical glandular cells (AGUS/AGCs) were seen in the second and third periods (P <0.001). No significant increases were observed among low-grade squamous intraepithelial lesions (LSILs) or high-grade squamous intraepithelial lesions (HSILs) (P >0.05). An increase was noted in carcinomas between the first and second periods although a significant decline was seen in the third (P <0.014). Conclusion: Satisfactory smears, ASCUS and AGUS/AGC increased during the study period although no significant increases in LSILs, HSILs or carcinomas were observed.http://web.squ.edu.om/squmj/includes/tng/pub/tNG_download.asp?id=fdbdbcec9a7c454182db64240fd42e23Cytological TechniquesPapanicolaou SmearEpithelial CellsRetrospective StudyKuwait
spellingShingle Kusum Kapila
Prem N. Sharma
Sara S. George
Azza Al-Shaheen
Ahlam Al-Juwaiser
Rana Al-Awadhi
Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait
Sultan Qaboos University Medical Journal
Cytological Techniques
Papanicolaou Smear
Epithelial Cells
Retrospective Study
Kuwait
title Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait
title_full Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait
title_fullStr Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait
title_full_unstemmed Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait
title_short Trends in Epithelial Cell Abnormalities Observed on Cervical Smears over a 21-Year Period in a Tertiary Care Hospital in Kuwait
title_sort trends in epithelial cell abnormalities observed on cervical smears over a 21 year period in a tertiary care hospital in kuwait
topic Cytological Techniques
Papanicolaou Smear
Epithelial Cells
Retrospective Study
Kuwait
url http://web.squ.edu.om/squmj/includes/tng/pub/tNG_download.asp?id=fdbdbcec9a7c454182db64240fd42e23
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