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Comparative study of pap smear and colposcopic findings in patients with vaginal discharge attending OPD in tertiary care centre
- Author Details:
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Rema V. Nair
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R. Anitha
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Vishnu G. Ashok
Introduction: Cervix is the lower narrow portion of uterus with an external os and internal os. Squamocolumnar junction is the junction between the squamous and glandular epithelium and its location varies based on age, hormonal influence. In younger age columnar epithelium lies near external os. Carcinoma cervix is the second most common cancer after the carcinoma of breast.
Aims & Objectives: To screen patients with abnormal vaginal discharge with papsmear and colposcopy, to find out the prevalence of precancerous lesion in study population and to screen patients with abnormal vaginal discharge with papsmear and colposcopy.
Subjects and Method: The study was conducted at Outpatient department of, Obstetrics & Gynaecology in Sree Mookambika Institute of Medical Sciences, Kulasekharam. Women aged 35-55 years attending Obstetrics and Gynaecology outpatient department were included. Pap smear and colposcoy was done in all participants.
Results: In this study sensitivity of pap smear was 50%, accuracy of detecting precancerous lesion of cervix was 46.4%. Sensitivity of colposcopy was 98%, the accuracy of detecting precancerous lesion was 85.9%.
Conclusion: Colposcopy can be used as screening tool for detecting pre-cancerous lesions. Colposcopy has high sensitivity and accuracy in detecting CIN than Pap smear.
Keywords: Cervix, PAP Smear, Colposcopy, Cervical Cancer, Pre Cancerous
References
- World Health Organization. WHO guidance note: comprehensive cervical cancer prevention and control: a healthier future for girls and women.
- Jones HW, Rock JA. Te Linde's operative gynecology. Lippincott Williams & Wilkins; 2015 Jul 10.
- Koss LG, Melamed MR, editors. Koss' diagnostic cytology and its histopathologic bases. Lippincott Williams & Wilkins; 2006.
- Dutta DC. Text Book of Obstetrics: Including Perinatology and Contraception. New central book agency; 2004.
- Reagan JW, Seidemann IL, Saracusa Y. The cellular morphology of carcinoma in situ and dysplasia or atypical hyperplasia of the uterine cervix. Cancer. 1953 Mar 1;6(2):224-35.
- Raychaudhuri S, Mandal S. Current status of knowledge, attitude and practice (KAP) and screening for cervical cancer in countries at different levels of development. Asian Pacific Journal of Cancer Prevention. 2012;13(9):4221-7.
- Miller AB, Sankaranarayanan R, Bosch FX, Sepulveda C. Can screening for cervical cancer be improved, especially in developing countries? International journal of cancer. 2003 Nov 10;107(3):337-40.
- Kushtagi P, Fernandes P. Significance of persistent inflammatory cervical smears in sexually active women of reproductive age. J Obstet Gynaecol India. 2002;52(1):124-6.
- Dhaubhadel P, Vaidya A, Choudhary P. Early detection of precursors of cervical cancer with cervical cytology and visual inspection of cervix with acetic Acid.
- Shalini R, Amita S, Neera MA. How alarming is post- coital bleedingβa cytologic, colposcopic and histopathologic evaluation. Gynecologic and obstetric investigation. 1998 Apr 3;45(3):205-8.
- Mhaske M, Jawadekar SJ, Saundale SG. Study of association of some risk factors & cervical dysplasia/cancer among rural women. National Journal of Community Medicine. 2011;2(2):209-12.
- Stern E. Epidemiology of dysplasia. Obstetrical & gynecological survey. 1969 Jul 1;24(7):711-23.
- Wright Jr TC, Cox JT, Massad LS, Twiggs LB, Wilkinson EJ. 2001 consensus guidelines for the management of women with cervical cytological abnormalities. Jama. 2002 Apr 24;287(16):2120-9.
- Olaniyan OB. Validity of colposcopy in the diagnosis of early cervical neoplasia: a review. African Journal of Reproductive Health. 2002 Dec 1:59-69.
How to Cite This Article
Vancouver
Nair RV, Anitha R, Ashok VG. Comparative study of pap smear and colposcopic findings in patients with vaginal discharge attending OPD in tertiary care centre [Internet]. Indian J Obstet Gynecol Res. 2017 [cited 2025 Oct 11];4(3):274-277. Available from: https://doi.org/
APA
Nair, R. V., Anitha, R., Ashok, V. G. (2017). Comparative study of pap smear and colposcopic findings in patients with vaginal discharge attending OPD in tertiary care centre. Indian J Obstet Gynecol Res, 4(3), 274-277. https://doi.org/
MLA
Nair, Rema V., Anitha, R., Ashok, Vishnu G.. "Comparative study of pap smear and colposcopic findings in patients with vaginal discharge attending OPD in tertiary care centre." Indian J Obstet Gynecol Res, vol. 4, no. 3, 2017, pp. 274-277. https://doi.org/
Chicago
Nair, R. V., Anitha, R., Ashok, V. G.. "Comparative study of pap smear and colposcopic findings in patients with vaginal discharge attending OPD in tertiary care centre." Indian J Obstet Gynecol Res 4, no. 3 (2017): 274-277. https://doi.org/