Cervical cytology study by Papanicolaou (PAP) smear screening in tertiary hospital in Surat, Gujarat

2021 ◽  
Vol 20 (2) ◽  
pp. 39-41
Author(s):  
Ami K Jagirdar ◽  
Keyword(s):  
Pap Smear ◽  
Tertiary Hospital ◽  
Cervical Cytology ◽  
Pap Smear Screening ◽  
Cytology Study

scholarly journals ABNORMAL FINDING OF PAP SMEAR AMONG WOMEN HOSPITAL VISITORS IN CITY OF MOSUL, IRAQ

2020 ◽  
Vol 8 (7) ◽  
pp. 174-178
Author(s):  
Sanaa Rajab ◽  
Wasnaa A Elias ◽  
Layla G Saeed ◽  
Thukaa T Yahya
Keyword(s):  
Epithelial Cell ◽  
Pap Smear ◽  
Precancerous Lesions ◽  
Intraepithelial Neoplasia ◽  
Cervical Cytology ◽  
Cervical Lesions ◽  
Abnormal Finding ◽  
Pap Smear Screening ◽  
Negative Findings ◽  
Glandular Cells

Objective: The research aims to test the use of the Pap smear screening system to identify precancerous lesions among women in City of Mosul, Iraq. Methods: This prospective study was carried out over 1 year at the Department of Obstetrics and Gynaecology in Mosul Teaching Hospital, city of Mosul, Iraq. We screened 100 sexually active women who were more than 21 years of age. Women with different complaints, including vaginal discharge, blood‑mixed discharge, foul-smelling discharge, postcoital bleeding, intermenstrual bleeding, postmenopausal bleeding, abdominal pain, infertility, and secondary amenorrhea, were included in this study. The glass slides had been sent for cytopathological review to the pathology department. The laboratory results have been reported by the new Bethesda Cervical Cytology Reporting System 2014. The device divided the lesions narrowly into certain negative ones for intraepithelial neoplasia and with epithelial cell abnormalities (ECA) that involve squamous and glandular cells. Upon pap smear, the patient was treated accordingly. Results: The study had enrolled a total of 100 cases. All of these patients had an abnormal Pap smear finding that fell according to TBS-2014 criteria in the category of Epithelial Cell abnormality. We interviewed all patients in Detail by proforma. The data reported were statistically analyzed and were collected following observations and tests. Among the study subject, the most common abnormal findings (68.9%) were negative findings. Inflammatory constitute (15.4), and Atypical squamous cells of undetermined significance (7%) followed by LSIL (5.9) and HSIL (2.9). Conclusion: Pap smear is an effective method for screening for Cervical Lesions Precancerous and cancerous. Nevertheless, a cervical biopsy must be performed which Is gold standard if any epithelial defects are found to be confirmed in cervical cytology.

scholarly journals Correlation of pap smear and colposcopic finding of cervix with histopatholgiocal report in a group of patient attending in a tertiary hospital

2013 ◽  
Vol 22 (1) ◽  
pp. 39-44
Author(s):  
Suraiya Parvin ◽  
Nazneen Kabir ◽  
Yeasmin Samad Lipe ◽  
Khaleda Nasreen ◽  
KM Nurul Alam
Keyword(s):  
Pap Smear ◽  
Diagnostic Value ◽  
Tertiary Hospital ◽  
Cervical Cytology ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
Abnormal Cervical Cytology ◽  
One Year ◽  
Colposcopy Clinic

Objective: To correlate Pap’s smear and colposcopic finding of cervix with histopathological report of abnormal area of cervix in a group of patient attending a tertiary hospital. Methods: It was a cross-sectional prospective study done in one year period from January to December 2007 in Colposcopy Clinic of Institute of Child and Maternal Health (ICMH) Hospital, Dhaka. The study carried out including fifty two female patients having clinically unhealthy cervices as in the form of hypertrophy, erosion, congestion or bleeds on touch or having positive pap smear found during P/V or P/S examination, attending gynaecology out patient department of ICMH Hospital after fulfilling all the inclusion criteria. Result: The present study showed a correlation between cervical cytology and colposcopically directed biopsy, the correlation was accurate within one grade in 39 of 51 cases (76.16%) (as cytology was not done in one case). Other studies showed cytologic accuracy (within one level of histologic finding) to about 83% and 88% cases. Conclusion: The study done here shows excellent correlation between findings of colposcopy with that of histopathology of guided biopsy. It also confirms the diagnostic value of colposcopy in the management of women with abnormal cervical cytology with squamous atypia. DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15604 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 39-44

scholarly journals A study of cervical cytology in females above 21 years of age

2019 ◽  
Vol 8 (9) ◽  
pp. 3578
Author(s):  
Nidhi Singh ◽  
Hanslata Gehlot
Keyword(s):  
Developing Countries ◽  
Pap Smear ◽  
Age Groups ◽  
Cervical Cytology ◽  
Socioeconomic Class ◽  
Mortality And Morbidity ◽  
Medical College ◽  
High Risk Factors ◽  
Pap Smear Screening ◽  
Malignant Lesions

 Background: Cancer cervix is the leading cause of mortality and morbidity in developing countries like India most probably due to lack of proper screening facilities or due to the lack of awareness amongst the women of developing countries. Worldwide, cervical cancer is the second most common and 5th deadliest cancer in women. This study was conducted in department of obstetrics and Gynaecology, Umaid hospital, Dr. S. N. Medical College, Jodhpur Rajasthan, India. The objective of this study was to study the various high risk factors involved in premalignant and malignant lesions of cervix. To study the incidence of different epithelial abnormalities of cervix in females above 21 years of age. To study premalignant and malignant lesions of the cervix in relation to the presenting complaintMethods: The study was conducted in 500 females above 21 years of age and who were not pregnant, who had been attending Umaid Hospital, Jodhpur for various gynaecological complaints, of different parity, residential status and socioeconomic class. Detailed history was taken and thorough examination was done. Pap smear was prepared and all smears were reported as per the Bethesda system.Results: Maximum numbers of patients were in the age group of 21-40 years (70.2%). Majority of patients were from rural area (52.4%) and from lower socioeconomic class (30.2%). Most of women were found to have duration of marriage between 10 to 30 years (63.4%). Most of the women in our study had age at marriage between 17 to 19 years (49.4%). Multiparity was seen in 84.2% of cases. The commonest presenting complaint was white discharge (46.8%). On Pap smear, maximum cases were of inflammatory smear (91.4%), 1.4% had ASCUS, 1.2% AGC, 1.4% LSIL, 1% HSIL and 0.4% had SCC.Conclusions: Cervical cytology is an important tool for early detection of premalignant and malignant lesions of cervix. Regular pap smear screening should be conducted in vulnerable age groups.

scholarly journals A contour property based approach to segment nuclei in cervical cytology images

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Iram Tazim Hoque ◽  
Nabil Ibtehaz ◽  
Saumitra Chakravarty ◽  
M. Saifur Rahman ◽  
M. Sohel Rahman
Keyword(s):  
Pap Smear ◽  
State Of The Art ◽  
Cervical Cytology ◽  
Average Intensity ◽  
Nucleus Size ◽  
Real Dataset ◽  
Art Methods ◽  
Convolution Filter ◽  
Cervical Cells ◽  
Nucleus Segmentation

Abstract Background Segmentation of nuclei in cervical cytology pap smear images is a crucial stage in automated cervical cancer screening. The task itself is challenging due to the presence of cervical cells with spurious edges, overlapping cells, neutrophils, and artifacts. Methods After the initial preprocessing steps of adaptive thresholding, in our approach, the image passes through a convolution filter to filter out some noise. Then, contours from the resultant image are filtered by their distinctive contour properties followed by a nucleus size recovery procedure based on contour average intensity value. Results We evaluate our method on a public (benchmark) dataset collected from ISBI and also a private real dataset. The results show that our algorithm outperforms other state-of-the-art methods in nucleus segmentation on the ISBI dataset with a precision of 0.978 and recall of 0.933. A promising precision of 0.770 and a formidable recall of 0.886 on the private real dataset indicate that our algorithm can effectively detect and segment nuclei on real cervical cytology images. Tuning various parameters, the precision could be increased to as high as 0.949 with an acceptable decrease of recall to 0.759. Our method also managed an Aggregated Jaccard Index of 0.681 outperforming other state-of-the-art methods on the real dataset. Conclusion We have proposed a contour property-based approach for segmentation of nuclei. Our algorithm has several tunable parameters and is flexible enough to adapt to real practical scenarios and requirements.

scholarly journals Conducting health policy analysis in primary care research: turning clinical ideas into action

2019 ◽  
Vol 7 (2) ◽  
pp. e000076 ◽  
Author(s):  
Alina Engelman ◽  
Ben Case ◽  
Lisa Meeks ◽  
Michael D Fetters
Keyword(s):  
Primary Care ◽  
Health Policy ◽  
Policy Analysis ◽  
Pap Smear ◽  
Policy Research ◽  
Primary Care Providers ◽  
Care Providers ◽  
Total Hysterectomy ◽  
Health Policy Analysis ◽  
Pap Smear Screening

Healthcare guidelines play a prominent role in the day-to-day practice of primary care providers, and health policy research leads to the formation of these guidelines. Health policy research is the multidisciplinary approach to public policy explaining the interaction between health institutions, special interests and theoretical constructs. In this article, we demonstrate how primary care providers can conduct high-impact health policy research using Eugene Bardach’s eightfold policy analysis framework in a primary care context. In a medical case, a woman with a history of total hysterectomy had scheduled a visit for a Papanicolaou (Pap) smear screening test as part of a well-woman health check-up with a family medicine resident. Conflicting recommendations on Pap smear screening after total hysterectomy sparked an investigation using the US Preventive Services Task Force criteria for conducting a health policy analysis. We illustrate broadly how clinical care dilemmas can be examined by using Bardach’s broadly applicable health policy framework in order to inform meaningful policy change. Bardach’s framework includes (1) defining the problem, (2) assembling evidence, (3) constructing alternatives, (4) selecting criteria, (5) projecting outcomes, (6) confronting trade-offs, (7) decision-making and (8) sharing the results of the process. The policy analysis demonstrated insufficient evidence to recommend Pap test screening after hysterectomy and the findings contributed to national recommendations. By following Bardach’s steps, primary care researchers have a feasible and powerful tool for conducting meaningful health policy research and analysis that can influence clinical practice.

scholarly journals Women's knowledge of cervical cancer and uptake of Pap smear testing and the factors influencing it in a Nigerian tertiary hospital

2018 ◽  
Vol 5 (3) ◽  
pp. 105-111 ◽  
Author(s):  
Adeyemi A. Okunowo ◽  
Ebunoluwa S. Daramola ◽  
Adaiah P. Soibi-Harry ◽  
Francis C. Ezenwankwo ◽  
Jubril O. Kuku ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Tertiary Hospital ◽  
Factors Influencing ◽  
Women's Knowledge ◽  
Women’S Knowledge ◽  
Smear Testing

scholarly journals Pap smear screening in antenatal women: an opportunistic way to save life

2021 ◽  
Vol 10 (8) ◽  
pp. 3158
Author(s):  
Sana Siddiqui ◽  
Suhailur Rehman ◽  
Imam Bano ◽  
Sayeedul H. Arif
Keyword(s):  
Trichomonas Vaginalis ◽  
Pap Smear ◽  
Cervical Screening ◽  
Target Population ◽  
Antenatal Clinic ◽  
Demographic Variables ◽  
Viable Option ◽  
Chi Square ◽  
Cross Sectional ◽  
Pap Smear Screening

Background: Cancer cervix is the most common genital tract malignancy encountered in developing countries. In India, first visit to the gynaecologist for most women is during pregnancy and it may be the only visit. Hence, prenatal care offers an excellent opportunity to implement cervical screening in patients of young age, especially in women who do not seek routine health care. Therefore, this study was conducted to know the prevalence of abnormal Pap smear among the ante-natal women and to evaluate the result in relation to various risk factors.Methods: Cross sectional observational study conducted on 425 ante-natal women attending the antenatal clinic using questioner addressing various socio-demographic variables. Measures of central tendency calculated and result was tabulated by using chi-square test.Results: Maximum number of cases in our study was NILM i.e.314 (74%) followed by 68 cases of Candida (16%), 30 cases of Bacterial vaginosis (7.1%) and 10 cases of Trichomonas vaginalis (2.4%). Only 3 cases of abnormal Pap smear was reported i.e. 2 of ASCUS and 1 of LSIL. Thus, prevalence of abnormal Pap smear was 0.7%.Conclusions: In country like India where organised screening programme are not available, as well as the awareness and uptake of available services by the target population is also poor; screening in pregnancy is worthwhile and may be a viable option to reduce the burden of cervical carcinoma. 

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