University of Khartoum

The Patterns of Pap Smear Cervical Cytology as seen in a Major Referral Hospital in Sudan

The Patterns of Pap Smear Cervical Cytology as seen in a Major Referral Hospital in Sudan

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Title: The Patterns of Pap Smear Cervical Cytology as seen in a Major Referral Hospital in Sudan
Author: Mohamed, Eiman
Abstract: This was a prospective study carried out in the period January - June 2002 in PUH on 385 patients seen in the Gynecology out patient Clinic to see the pattern of cervical cytology .Clinical data and cervical smears were taken from the patients. Cytological studies were done using Papanicolaou staining method .The age of the patients ranged from 18 to 60 years ( mean 32.4.). 97.1 % of the patients were married with duration of marriage ranging from 1 to 45 years (mean 11.4). The age at marriage ranged from 15-41 years (mean 19.6) 41.2% of the patients were from low socioeconomic classes and 70.7% were resident in suburban regions . 54 (14.5%) of the patients were taking contraceptives with a mean duration of 2.59 years .Parity of the patients varied from zero to 16 ( median of 2.0) . In 23% there was relevant gynecological history .92 % of the patients had normal cervical cytology . 29 (7.2%) had smears with features consistent with infection .Offensive vaginal discharge and post-coital bleeding were the commonest symptoms related to the dysplasia observed in cervical cytology. Four patints (0.8%) showed abnormal cervical smears .Two patients showed CIN1 and one showed CIN2 pattern and was referred for colposcopy and had hysterectomy done. One patient was found to have an invasive squamous cell carcinoma which was confirmed and referred to RIC for radiotherapy . All the cellular abnormalities were found in married patients with high parity. Clinical details of the 4 patients shown to have cervical dysplasia was given .The importance of Proper follow up of such patient and establishment of colposcopy services and of effective microbiological and cytological diagnostic facilities were pointed out . Availability of adequately-trained staff is highly recommended .Collaborative work is recommended for performing more elaborate population-based studies to avail the data needed for establishment of a suitable national screening program for cervical cancer screening .
Description: 73page
URI: http://hdl.handle.net/123456789/7672
Date: 2015-03-30


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