Cervical Pap smear is gold diagnostic tool for cervical cancer

Manal Abd Ali, Aseel Al Qzweni

Abstract


One hundred (100) female patients referring to AL-Zahraa Teaching Hospital in AL-Najaf Province who were suspected to harbor Cervical squamous intraepithelial lesions were included in this study. Cytological examination were performed for their Pap-smeared and stained cervical cellular scrapes and according to their main cytological finding they were divided into three cytological groups: Cervicitis with Squamous intraepithelial lesions, Cervicitis without Squamous intraepithelial lesions and healthy group. A full history taking and clinical gynecological examination of all these (3) groups was performed. The following summarized results were found: 1-Cervicitis with SILs was 22% (HSILs 5%, LSILs 63% and Asc-us 32%),Cervicitis without SILs was 58% and 10% healthy patients. 2-The mean age of patients presented with cervical intraepithelial lesions was (44.23± 10.2)years. The highest percentage was diagnosed in the age stratum (36-50 ) years. 3- the clinical presentation of the patients with cervical neoplasia were indistinguishable from other cytological group, However, among many other finding related to the history and clinical examinations, early of marriage, multiparity, smoker behavior, abnormal vaginal bleeding were found significantly higher in cervical premalignant lesions than other cytological group.


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