scholarly journals Demonstration of Abnormal Cervical Change in Papanicolaou Smears by Liquid Base Cytology

2020 ◽  
pp. 1-8
Author(s):  
Howaida Mahmoud Hagag ◽  
Anwar Althomali ◽  
Rawan Alnefei ◽  
Bashair Alotaibi ◽  
Ola Abdullah ◽  
...  
Keyword(s):  
Vaginal Discharge ◽  
Pap Smear ◽  
Effective Means ◽  
Cross Sectional Study ◽  
Cervical Cytology ◽  
Early Marriage ◽  
Pap Smears ◽  
Sectional Study ◽  
Cervical Lesions ◽  
Cross Sectional

Background: Cervical cancer is considered one of the most important health problem affecting women health all over the world also it is preventable cancer as soon as it was discover early by cervical cytology using Papanicolaou (Pap) smears as it is an effective means of screening for cervical premalignant and malignant conditions such as Cervical intra-epithelial neoplasia (CIN). So this study aims to detect abnormal premalignant epithelial changes by liquid base Pap stained cervical smear in Taif city of Saudi Arabia. Methodology: Cross sectional study is based on 100 females patients who attended the out-patient Department of Obstetrics and Gynecology in King Faisal hospital were randomly chosen as cross sectional study. Cervical smears were obtained and Pap smears were prepared from patients presenting with different complaints such as vaginal discharge, abnormal menstrual and vaginal bleeding and pain. After fixation and staining, each smear was carefully examined. Results: showed that epithelial cell abnormalities were found in 7% of smears, age rang of the patients was between 20-50 years old and the main complaint was abnormal vaginal discharge. Also our study established the high frequency of abnormal cervical cytology in females used contraception as well as early marriage as a risk factors. Conclusion: In Taif City, a conservative community, premalignant and malignant cervical lesions are relatively high. Pap smear cervical cytology is an easy, safe and effective test for early detection of pre-malignant and malignant lesions of the cervix, thereby allowing clinicians to treat patients early and more effectively.

scholarly journals The correlation between colposcopy, cervical cytology and histopathology in the diagnosis and management of cervical lesions: a cross sectional study

2020 ◽  
Vol 9 (7) ◽  
pp. 2729
Author(s):  
Pooja Gupta ◽  
Mariyam Faruqi ◽  
Subrat Chandra ◽  
Sameer S. Shah ◽  
Rupita Kulshreshtha
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cervical Cytology ◽  
Care Hospital ◽  
Sectional Study ◽  
Cervical Lesions ◽  
Cross Sectional ◽  
Diagnosis And Management ◽  
History Of ◽  
Excellent Tool

Background: The study was undertaken to see the correlation between cervical cytology, histopathology and colposcopy in the diagnosis and management of various cervical lesions.Methods: It is a cross sectional study conducted at a tertiary care hospital in Mumbai, in the department of obstetrics and gynecology from February 2007 to March 2008. A total 55 sexually active women were enrolled for the study who belonged to age group greater than 20 years with history of chronic leucorrhoea or post-coital bleeding/spotting, intermenstrual bleeding/spotting or examination findings of erosion, an unhealthy cervix, a lesion bleeding on touch or an abnormal or suspicious Papanicolaou smear. These women then underwent cytology, colposcopy and cervical biopsy.Results: The accuracy of cytology when compared to colposcopy was 81.82%. The accuracy of colpo-histopathology was 83.6%. The combined accuracy was 76.36%.Conclusions: The simultaneous use of cytological studies and screening colposcopy has been shown to increase the cervical cancer detection. Colposcopy offers an excellent tool in the hands of a gynaecologist to evaluate the uterine cervix and it is not possible to develop this kind of perspective by any other method.

scholarly journals Factors associated with maternal near-miss at public hospitals of South-East Ethiopia: An institutional-based cross-sectional study

2021 ◽  
Vol 17 ◽  
pp. 174550652110606
Author(s):  
Ashenafi Mekonnen ◽  
Genet Fikadu ◽  
Kenbon Seyoum ◽  
Gemechu Ganfure ◽  
Sisay Degno ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Near Miss ◽  
Early Marriage ◽  
Maternal Near Miss ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia. Methods: Facility-based cross-sectional study design was carried out from 1 October 2018 to 28 February 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 were used to examine the association between the independent and dependent variables. Result: The prevalence of maternal near-miss in our study area was 28.7%. Age < 20 years, age at first marriage < 20 years, husbands with primary education, and being from rural areas are factors significantly associated with the prevalence of maternal near-miss. The zonal health department in collaboration with the education department and justice office has to mitigate early marriage by educating the community about the impacts of early marriage on health.

scholarly journals Present potential of exfoliative cytology in detection of cervix cancer

2013 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Sushila Jain ◽  
Anuj Paudel ◽  
S K Jain
Keyword(s):  
Epithelial Cell ◽  
Pap Smear ◽  
Screening Program ◽  
Cervical Screening ◽  
National Policy ◽  
Cross Sectional Study ◽  
Pap Smears ◽  
Low Grade ◽  
Cross Sectional ◽  
Epithelial Lesions

  Introduction: Conventional Pap smear is the mainstay for cervical cancer screening in developing countries and women should be motivated for cervical screening program to detect early dysplastic cells. This study was carried out to find out the prevalence of abnormalities in Pap smears, particularly pattern of epithelial cell abnormality in women attending Lumbini Medical College in western Nepal.   Methods: A cross-sectional study was carried out and 1066 Pap smears were studied to look for epithelial cell abnormality according to revised Bethesda system 2001.   Results: Out of 1066 patients who underwent Pap smear examination, 71 (6.6%) revealed epithelial cell abnormality; most were low grade squamous intra-epithelial lesions (LSIL) occupying 4.59% at the age between 23 to 29 years. Squamous cell carcinoma was found in 0.37 % of patients at the age 40 years and above. In our scenario, per vaginal discharge was the major finding of the patients who showed premalignant features.   Conclusions: Women above 40 years are at a risk of premalignant as well as malignant lesions and these women should undergo screening for abnormal cells at the age of 18 or when sexual activity starts and as per recommendations to look for early dysplastic cells. Cervical screening program should be motivated by the national policy makers and also by health professionals.

scholarly journals Higher educational attainment associated with reduced likelihood of abnormal cervical lesions among Zambian women - a cross sectional study

BMC Cancer ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Twaambo Euphemia Hamoonga ◽  
Rosemary Ndonyo Likwa ◽  
Patrick Musonda ◽  
Charles Michelo
Keyword(s):  
Educational Attainment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cervical Lesions ◽  
Cross Sectional ◽  
Higher Educational ◽  
Higher Educational Attainment

scholarly journals Cytohistological correlation of conventional Papanicolaou smears in cervical neoplasia at a tertiary care hospital of Nepal

2019 ◽  
Vol 9 (1) ◽  
pp. 1475-1479
Author(s):  
Anuj Poudel ◽  
Prahar Dahal
Keyword(s):  
Uterine Cervix ◽  
Pap Smear ◽  
Cervical Screening ◽  
Tertiary Care ◽  
Cost Effective ◽  
Cervical Cytology ◽  
Pap Smears ◽  
Care Hospital ◽  
Cervical Lesions ◽  
Cervical Biopsy

Background: Conventional Cervical Cytology is the most widely used cervical cancer screening test. The incidence of cervical carcinoma is incredibly high in developing countries due to lack of proper knowledge. The extensive use of cervical screening with Papanicolau smears had considerably increased the detection of precancerous and cancerous lesion of uterine cervix. Study was conducted to evaluate cytohistological correlation and to calculate concordance and discordance of Pap smear in detection of precancerous and cancerous lesions of uterine cervix. Materials and Methods: A total of 54 samples reported in Pap smear as cervical intraepithelial lesions and suspicious for invasive malignancies were selected and correlated with corresponding histopathological findings. It was an observational study done for a period of 18 months from November 2016 to May 2018 at UCMS-TH. All the statistical evaluation was done by using SPSS version 20. Results: During the study period 54 cases were evaluated. Atypical Squamous Cell of Undetermined Significance was the common abnormal findings in the Pap smear with frequency of 26 (48.1%). Out of total 54 cases of Pap smears, 30 (55.55%) were concordant while discrepancies occurred in 24(44.44%) cases with cervical biopsy. Conclusions: The study revealed a good correlation between cervical cytology and cervical biopsy. We also concluded that conventional Pap smear is a cost effective test for the early detection of precancerous and cancerous cervical lesions.

scholarly journals Prevalence ofTrichomonas vaginalisinfection and protozoan load in South African women: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016959 ◽  
Author(s):  
Dewi J de Waaij ◽  
Jan Henk Dubbink ◽  
Sander Ouburg ◽  
Remco P H Peters ◽  
Servaas A Morré
Keyword(s):  
South African ◽  
Vaginal Discharge ◽  
Cross Sectional Study ◽  
African Women ◽  
Sectional Study ◽  
Vaginal Infection ◽  
Cross Sectional ◽  
Rural South ◽  
South African Women ◽  
Rural South Africa

ObjectivesTrichomonas vaginalisis thought to be the most common non-viral sexually transmitted infection worldwide. We investigated the prevalence, risk factors and protozoan load ofT. vaginalisinfection in South African women.MethodsA cross-sectional study of 604 women was conducted at 25 primary healthcare facilities in rural South Africa (Mopani district).T. vaginalisDNA was detected in vaginal and rectal swabs. In univariate and multivariate analyses, theT. vaginalisinfection was investigated in relation to demographic characteristics, medical history and behavioural factors. TheT. vaginalisload was determined as the logarithm of DNA copies per microlitre sample solution.ResultsCollected vaginal and rectal swabs were tested forT. vaginalisDNA. Prevalence of vaginalT. vaginaliswas 20% (95% CI 17.0% to 23.4%) and rectal 1.2% (95% CI 0.6% to 2.4%). Most women (66%) with a vaginal infection were asymptomatic. Factors associated withT. vaginalisinfection were a relationship status of single (OR 2.4; 95% CI 1.5 to 4.0; p<0.001) and HIV positive infection (OR 1.6; 95% CI 1.0 to 2.6; p=0.041). Women with vaginalT. vaginalisinfection were more likely to have concurrentChlamydia trachomatisrectal infection than those without vaginal infection (12%vs3%; p<0.001; OR 4.1). A higher medianT. vaginalisload was observed among women with observed vaginal discharge compared with those without vaginal discharge (p=0.025).ConclusionsVaginal trichomoniasis is highly prevalent in rural South Africa, especially among single women and those with HIV infection, and often presents without symptoms.

Cross-sectional Study of Patient- and Physician-Collected Cervical Cytology and Human Papillomavirus

2003 ◽  
Vol 102 (2) ◽  
pp. 266-272
Author(s):  
Francisco Garcia ◽  
Bel Barker ◽  
Carlos Santos ◽  
Elena Mendez Brown ◽  
Thomas Nuño ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Cross Sectional Study ◽  
Cervical Cytology ◽  
Sectional Study ◽  
Cross Sectional
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