IP Archives of Cytology and Histopathology Research

Print ISSN: 2581-5725

Online ISSN: 2456-9267

CODEN : IACHCL

IP Archives of Cytology and Histopathology Research (ACHR) open access, peer-reviewed quarterly journal publishing since 2016 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination more...


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Original Article


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97-102


Authors Details

Sonu Bansal*, Chandrakanta , Harendra Kumar, Urvashi Verma


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Spectrum of epithelial abnormalities on papanicolaou smear in postmenopausal women


Original Article

Author Details : Sonu Bansal*, Chandrakanta , Harendra Kumar, Urvashi Verma

Volume : 6, Issue : 2, Year : 2021

Article Page : 97-102

https://doi.org/10.18231/j.achr.2021.024



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Abstract

Background: The Papanicolaou (Pap) smear was introduced in 1941, became the standard screening test for cervical cancer and premalignant lesions, and is being used globally.
Objectives: To estimate the frequency of various epithelial abnormalities on Pap smear in postmenopausal women and assess their relation with parity, clinical symptoms and per speculum findings. Study design: Prospective
Materials and Methods: Pap procedure was done on 400 postmenopausal women from November 2017 to June 2019 and smears were stained and cytological interpretation was made according to the 2014 Bethesda system.
Result: Out of 97.5% satisfactory smears, 17.9%, 26.2% and 55.9% were diagnosed as of epithelial abnormalities, normal cytology and inflammatory and other benign conditions respectively. ASCUS-mean age was 45.18 years and parity of 3. Patients were either asymptomatic or presented with white discharge. Incidence among epithelial abnormalities was 31.5% with overall incidence of 5.6%. LSIL- mean age was 48.11 years and parity of 4 and presented with white discharge and lower abdominal pain. Incidence was 37.2% among epithelial abnormalities with overall incidence of 6.7%. HSIL- mean age was 58.78 years
with parity of >/=5, presented with white discharge and lower abdominal pain. Incidence among epithelial abnormalities was 27% with overall incidence of 4.8%. SCC -mean age was 58.6 years and parity of >/=5, presented with white discharge, postmenopausal bleed and something coming out of p/v. Incidence was 4.2% among epithelial abnormalities with overall incidence of 0.8%. 
Conclusion: Pap smear is a simple, cheap, safe and gold standard diagnostic tool for screening postmenopausal women.

Keywords: Epithelial abnormality, Pap smear, Postmenopausal.


How to cite : Bansal S , Chandrakanta, Kumar H , Verma U , Spectrum of epithelial abnormalities on papanicolaou smear in postmenopausal women. IP Arch Cytol Histopathol Res 2021;6(2):97-102

Copyright © 2021 by author(s) and IP Arch Cytol Histopathol Res. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (creativecommons.org)





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