Epidemiological profile of cervical lesion on pap smear cytology and histopathological finding in kosi region of Bihar.
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Date
2014-10
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Abstract
With decreasing incidence of cervical pathology in western world due to increasing awareness
and screening programme. Contrary to it in India and developing countries cervical lesion,
particularly cervical carcinoma is the leading cause of increasing morbidity, mortality and
financial burden on society. The present study is an insight into the epidemiological profile of
cervical lesion on Pap smear and histopathology finding in Kosi region of Bihar. The study
was carried over the period of 2 years 8 months. Total 154 patients were enrolled in this study
and were analysed for age, socio-economic status, parity, age at first pregnancy and symptoms
using Pap smear with histopathological finding of cervical lesions. Data were analysed of
which 79.23% (122) patients were in age groups 21-40 years, 72.08% (111) were from low
socio-economic status, and 70.78% (109) were with parity 4 and more. 66.88% (103) patients
delivered their first child below 20 years of age. 69.49% (107) patients presented with foul
smelling vaginal discharge and pelvic pain. On pap smear and histopathological findings
preinvasive (dysplasia, LGSIL, HGSIL) and invasive stage (carcinoma) constituted 26.61%
(41) cases. The epidemiological pattern of cervical lesion in kosi region of Bihar is different
from other study with presentation in younger age groups, high parity and markedly increased
incidence of premalignant and malignant lesion on pap smear and histopathology findings.
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Keywords
LGSIL, HGSIL, carcinoma
Citation
Karim R, Haque N U. Epidemiological profile of cervical lesion on pap smear cytology and histopathological finding in kosi region of Bihar. Bangladesh Journal of Medical Science. 2014; 13(4): 427-430.