Cervical Pap smear study and its utility in cancer screening in patients attending out-patient department in a tertiary care hospital

Abstract

Background:The present study was conducted for evaluating cervical Pap smear study and its utility in cancer screening in 
patients attending out-patient department in a tertiary care hospital.
Materials & methods:Screening of a total of 1000 women within the age range of 20 to 40 years was done. After the patients 
were in the lithotomy posture, the vagina was punctured with a sterile bivalve speculum. The posterior vaginal wall was 
retracted posteriorly and the anterior vaginal wall anteriorly to give appropriate view of the cervix and vaginal wall. The 
ectocervix was used as the sample source. The sample was rapidly spread out onto a glass slide with a label, and it was fixed
with 95% ethyl alcohol in a jar. Lesions that tested negative for both intraepithelial neoplasia and epithelial cell abnormalities 
(ECA), which comprise squamous and glandular cells, were grouped together. Colposcopy was recommended for women with 
abnormal Pap test findings, such as atypical squamous cells of unknown significance (ASCUS), low-grade squamous 
intraepithelial lesion (LSIL), and HSIL. Women who had a suspicious colposcopy finding had a biopsy guided by the results 
of the colposcopy