Top PDF Colposcopic evaluation of Unhealthy Cervix and its correlation with PAP smear and Biopsy

Colposcopic evaluation of Unhealthy Cervix and its correlation with PAP smear and Biopsy

Colposcopic evaluation of Unhealthy Cervix and its correlation with PAP smear and Biopsy

In the present study screening was done in 200 women with abnormal symptoms like excessive white discharge post coital bleeding, post menopausal bleeding etc, women with unhealthy cervix, and woman with dysplastic smears, with colposcopy and its results were correlated with pap smear and biopsy to determine the sensitivity and specificity of these methods in detecting CIN. Regarding age distribution, high incidence of CIN was found among the age group of 30-49 years with mean age of 41 years which was seen in 16.7% of cases. Kushtagi and Fernandes, in their study showed the prevalence of CIN was higher in women over 30 years. Vaidya showed in his study that CIN was more prevalent in the age group of >35 years. Shalini et al showed the mean age of patients with cancer cervix was 41 vs 32 in patients with benign pathology in cervix.
Show more

116 Read more

Colposcopic evaluation of unhealthy cervix and it’s correlation with Papanicolau smear in cervical cancer screening

Colposcopic evaluation of unhealthy cervix and it’s correlation with Papanicolau smear in cervical cancer screening

Patients attending Gynecology OPD with complaints like white discharge, backache, pain in abdomen, menstrual disorders, something coming out of vagina, post coital bleeding, post menopausal bleeding were subjected to detail history, clinical and Gynecological examination and naked eye examination of cervix. Inguinal and general Lymphadenopathy, Vulval infections, vaginal inflammation, discharge- it’s characters (color, odor, amount, type), cervical inflammation, any growth or bleeding was looked for. PAP smear and Colposcopy was planned in women with abnormal complaints and abnormal cervix on naked eye examination, after consent. PAP smear was not done during menses, during abnormal vaginal bleeding, vaginal douching / sexual intercourse/ antibiotic taken in immediate past. On PAP smear, the Bethesda classification system was used for cytological grading.
Show more

7 Read more

Study of the Correlation of Diagnostic Efficacy of Modified Reids Colposcopic Index with Colposcopic Results

Study of the Correlation of Diagnostic Efficacy of Modified Reids Colposcopic Index with Colposcopic Results

There is high non compliance during follow up, due to maximum patients being from rural area immediate colposcopy with pap smear sampling can solve this problem of poor follow-up non compliances, especially in rural population. It is also recommended, that combined use of pap smear colposcopy and colposcopic guided biopsy can be the protocol to evaluate all suspicious lesions of cervix.

6 Read more

Evaluation of Pap smear data in Baghdad province

Evaluation of Pap smear data in Baghdad province

Methodology: This is a retrospective study of a 100 Pap smears performed for women attending gynecological clinic in Baghdad with unhealthy cervix during the year 2013.Results of pap smear were classified according to Bethesda scoring system. Results: A total of 100 Pap smears for women age 13 to 64 years old. fourteen smears were negative mentioned as (non specific) while eighty-six cases came with abnormal Pap smears consisting of , forty eight with low grade squamous intraepithelial lesions(LSIL), and twenty nine cases were having high grade squamous intraepithelial lesions(HSIL), six cases have Koilocytosis , three cases came with squamous intraepithelial lesions with undetermined significance and atypical glandular cells(ASCUS & AGUS). Unexpectedly there was a high incidence (77%) of SIL. There was a significant correlation between abnormal pap smears and parity, Hormonal contraception, postcoital bleeding and vaginal discharge.
Show more

6 Read more

EVALUATION OF UNHEALTHY CERVIX IN KASHMIRI WOMEN BY COLPOSCOPY, LIQUID BASED CYTOLOGY AND HISTOPATHOLOGY A TERTIARY CARE HOSPITAL BASED STUDY

EVALUATION OF UNHEALTHY CERVIX IN KASHMIRI WOMEN BY COLPOSCOPY, LIQUID BASED CYTOLOGY AND HISTOPATHOLOGY A TERTIARY CARE HOSPITAL BASED STUDY

smear, clarity of background and increased specificity for detection of LSIL and HSIL lesions. On the other hand, colposcopic assessment is a critical step in the diagnosis of preinvasive cervical lesions, as the detection of abnormal cervical cytology is dependent on precise visual localization of micropathological changes and precise biopsy of such tissue for subsequent histopathological diagnosis. Therefore, use of single visit approach in which cytology, colposcopy and biopsy are all done in one sitting and treated accordingly will help us to detect a significant number of cases in premalignant state which may otherwise be missed if the above-mentioned screening methods are used individually.
Show more

7 Read more

A study of evaluation of unhealthy cervix by various diagnostic modalities

A study of evaluation of unhealthy cervix by various diagnostic modalities

An AC-3 model colposcope (Figure 2) was used and the procedure was carried out in the minor OT of the OPD. The cervix was visualized for colour change, surface contour and any vascular abnormality. Capillaries and surface blood vessels were examined with a green filter. Colposcopy was considered unsatisfactory if the entire transformation zone was not visualized. Biopsy was taken with punch biopsy forceps under colposcopic guidance from the suspicious areas, and a four-quadrant biopsy was taken where no such area was visible. Women with unsatisfactory colposcopy (i.e. those in whom the transformation zone could not be completely visualized) were excluded from the study and were advised follow- up. Pap smear, colposcopy and histopathology findings were correlated and analyzed.
Show more

5 Read more

Correlation of Pap smear and colposcopic findings in relation to histopathological findings among women attending a tertiary care hospital: a two year study

Correlation of Pap smear and colposcopic findings in relation to histopathological findings among women attending a tertiary care hospital: a two year study

The diagnostic algorithms of various organised screening programs include Pap smear, colposcopy and histopathological confirmation. In developing countries, following a strict algorithm for screening is difficult due to insufficient manpower, infrastructure, trained personnel and limitations like low sensitivity and high false negatives. Hence there is a grave need for alternative screening methods in conditions with low and resource poor settings. Hence the present study was aimed to find the correlation of Pap smear, colposcopic findings and colposcopic guide biopsy in evaluation of cervical lesions in women and to analyse the various risk factors.
Show more

6 Read more

Compare the efficiency of colposcopic VIA, VILI, LIQUIPREP TM and conventional Pap smear; as screening procedure for carcinoma cervix

Compare the efficiency of colposcopic VIA, VILI, LIQUIPREP TM and conventional Pap smear; as screening procedure for carcinoma cervix

The present study revealed a good correlation between LBC and Biopsy reports. It had a high sensitivity rate of 96.1% and specificity of 98%. The PPV was 98%, NPV was 96%, and the accuracy rate was 97% (Table 3). In this study, LBC is having higher sensitivity and specificity and accuracy rate than colposcopy and Pap smear. The sensitivity and specificity of combined Colposcopy and pap smear are almost equal to LBC results. Since LBC is more expensive, in our settings, we can use the combined Colposcopy and Pap smear for the cervical cancer screening (Table 4).
Show more

5 Read more

Prospective study of colposcopic screening of unhealthy cervix

Prospective study of colposcopic screening of unhealthy cervix

Cervical cancer is the second most frequent cancer worldwide, in women after breast carcinoma. However invasive cancer of the cervix was considered to be a preventable condition as it associated with a long pre invasive stage (CIN) making it amenable to screening and treatment. In the present study screening was done in 100 women with abnormal symptoms like excessive white discharge post coital bleeding, post-menopausal bleeding and women with dysplastic smears, with colposcopy and its result were correlated with pap smear and biopsy to determine the sensitivity and specificity of these methods in detecting CIN. Regarding age distribution, high incidence of CIN was found among the age group of 30- 49 years with mean age 41 years which was seen 19% of cases. Kushtagi P et al and Fernands P et al, in their study showed the prevalence of CIN was higher in women over 30 year, while Vaidya showed in his study that CIN was more prevalent in the age group of >35 years. 4,5 Shalini et
Show more

6 Read more

COMPARISON BETWEEN VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA) AND PAP SMEAR  IN SCREENING OF CERVICAL CANCER IN RURAL SETUP

COMPARISON BETWEEN VISUAL INSPECTION OF CERVIX WITH ACETIC ACID (VIA) AND PAP SMEAR IN SCREENING OF CERVICAL CANCER IN RURAL SETUP

INTRODUCTION: In developing country like India cervical malignancy is a common, preventable and curable cause of morbidity and mortality .Worldwide pap smear is the most commonly used screening test for cervical lesions .VIA guided biopsy has been defined to be the gold standard method in diagnosing precancerous lesions of the cervix & used in evaluation and management of cervical lesions. In present study we compare clinical performance of Visual Inspection With acetic acid (VIA), as a simple screening test and if it (VIA) would be an adequate alternative to PAP SMEAR , in the screening for cancer cervix in low resource settings. METHOD: A cross sectional study was conducted in a tertiary care referral institute in 100 symptomatic women of 30-70 years. PAP smears were performed by the conventional method and VIA was done for all 100 women who came with complaints of white discharge per vagina, intermenstrual, or postcoital bleeding, etc. Final correlation of the PAP smear and VIA were based on biopsy reports.
Show more

6 Read more

Cervical Cancer in Women with Unhealthy Cervix in a Rural Population of a Developing Country

Cervical Cancer in Women with Unhealthy Cervix in a Rural Population of a Developing Country

The purpose of this project was to find the risk factors, incidence of cervical neoplasia in women with grossly unhealthy cervix, visiting the Department of Gynecology and Obstetrics of a tertiary care hospital in West Bengal, which caters a large number of patients from its surrounding rural areas. Clinical staging of the disease was carried out to get an overview of effectiveness of the existing screening programs of cervical cancer.

5 Read more

The utilization and barriers of Pap smear among women with visual impairment

The utilization and barriers of Pap smear among women with visual impairment

The cognitions, attitudes and barriers of Pap smear utilization among women with visual impairments Table 2 shows that there were non-significant different in recognition and the sufficient information of Pap smear (p > 0.05). There was near 50 % cases who ever used the Pap smear not to be explained that by profes- sionals before they accepting the Pap smear. Figure 1 shows the barriers of Pap smear using, there were near 50 % of them to express that there were no explanation about Pap smear before checking up and the attitudes from doctors and nurses were more important than other factors. Figure 2 is to explain why they didn’t accept Pap smear, the highest percentage was “feel still younger” (22.3 %), the second was “there’s no sexual experience” (21.4 %).
Show more

9 Read more

Prevalence and associated risk factors of abnormal pap smear in pregnant women

Prevalence and associated risk factors of abnormal pap smear in pregnant women

The percentage of smokers in our population was 0.9%. The proposed reason for this disparity could be that women in the studied population smoke less or were not forthcoming in history. The relationship between smokers and abnormal smears was not significant (p = 0.06). This was not in accordance with the study compared above, which shows a link between smoking and abnormal cervical smears. The proposed mechanism is that smoking decreasing immune resistance and the ability of the immune system to clear the body of infections. The correlation of abnormal smears to an unhealthy cervix is significant (p = 0.0007) which is similar to a study conducted by Himabindhu et al. 4 An unhealthy
Show more

5 Read more

Original Research Article Study of Pap Smear with Revised Bethesda System of Reporting, in Screening of Ca Cervix, in Patients Attending in Tertiary Care Hospital at Darbhanga, Bihar

Original Research Article Study of Pap Smear with Revised Bethesda System of Reporting, in Screening of Ca Cervix, in Patients Attending in Tertiary Care Hospital at Darbhanga, Bihar

Cytology is the study of cells. Each cell performs its predestined function and passes away to leave its place to a new cell. This fundamental biological law finds a most typical expression in the epithelial tissues, i.e., the skin and the mucous membranes. These tissues, because of their exposure to the action of extraneous factors, are subjected to an extensive falling or shedding of their superficially located cells. As these cells are lost, their places are promptly taken by new cells growing from undifferentiated basal layer of epithelium, which is endowed with an inherent high potentiality for proliferation and growth. The Indian Council of Medical Research (ICMR) stated that in 2016 the total number of new cancer cases is expected to be around 14.5 lakh and the figure is likely to reach nearly 17.3 lakh new cases in 2020. Over 7.36 lakh people are expected to succumb to the disease in 2016 while the figure is estimated to shoot up to 8.8 lakh by 2020. Data also revealed that only 12.5 per cent of patients come for treatment in early stages of the disease. Among females, breast cancer topped the list and among males mouth cancer, the study said.
Show more

8 Read more

HGSIL on Pap smear : Good indication for direct LEEP procedure

HGSIL on Pap smear : Good indication for direct LEEP procedure

Colposcopic evaluation is still very much dependent on the operator. It needs better understanding of the procedure. Studies has shown that there is considerable subjective variations and many factors like prior knowledge of the cytology report can change the accuracy of the diagnosis.A new scoring system of Reid is developed to increase the accuracy of the colposcopic assessment and histological diagnosis.

6 Read more

Knowledge and awareness among Iranian women regarding the pap smear

Knowledge and awareness among Iranian women regarding the pap smear

(32.5%), genital warts (18.4%), and other caus- es (2.1%) [9]. Therefore there is a similarity and correlation between both results which is re- markable considering awareness and social condition. 59.9% of the individuals had heard about signs of cervical cancer and 6.1 % declare that the Pap smear test could have complica- tions whereas 80.9% state that it has no compli- cation and 13% were unaware which is highly remarkable. 77.9% of the respondents thought Pap smear test is capable of diagnosing cervical cancer, 54.8% believed that the smear test could prevent cervical cancer, 48.5% had found the smear test as a procedure to aid diagnosing and treating sexually transmitted diseases (STDs), and 22.3% consider the smear test as an effec- tive method to treat infertility. Findings about Pap smear test were as below in another similar study: it is capable of diagnosing cervical can- cer(83.8%), could prevent cervical cancer (24%), could diagnose other kinds of cancers (4.4%), could treat STDs (30.7%), could treat infertility (16.1%), other uses of smear test(1.5%) [9]. It’s perceivable that both results are almost the same. Chief barriers to regular screening were low perceived susceptibility (36.3%), fear or embarrassment (35.5%), no recommendation from physician or obstetri- cian (25.3%), unawareness about the advan- tages of smear test (22.7%), shortage of time (22.5%), health care centers limited hours of admission (12.8%), distrust (10.6%), cultural and religious excuses (6.2%), and unawareness about the location where they could have a smear test (6.2%). The results of a similar study in south Africa was the same: no recommenda- tion from physician (40.4%), low perceived susceptibility (37.8%), fear or embarrassment (32.5%), and cultural and religious excuses (1.3%) were main cause of irregular smear tests [9]. The majority, 66.9%, believed that they were at risk if they don’t have regular pap smear tests, but 11.8% denied the presence of this risk while 21.3% were unaware. Thus, 91.6% were compatible to use the smear test regularly
Show more

6 Read more

Comparative study of pap smear and microbiological pattern in bacterial vaginosis

Comparative study of pap smear and microbiological pattern in bacterial vaginosis

Most of the patients are asymptomatic. Some patients show symptoms like increase in white discharge which appears homogeneous, is low in viscosity and evenly coats the vaginal mucosa and there is characteristic vaginal odor which smells like a fish. The patients may also experience itching and burning in the vaginal area. Pap smear is a routine procedure done for cytological screening of cervical cancer. 3 It can also be used as a

5 Read more

The Social Ecology of Cervical Cancer: The Challenges to Pap Smear Screening

The Social Ecology of Cervical Cancer: The Challenges to Pap Smear Screening

Cervical cancer is a preventable cancer. It has a long preinvasive phase that can be easily detected by an accu- rate screening test, the Pap smear. Pap smear screening has become so successful that the American Society of Cytologists and Cervical Pathologists (ASCCP) 2012 guidelines recommend a reduction in screening fre- quency to every three years [1]. Despite this highly suc- cessful test along with the use of HPV testing, which increases the screening sensitivity, women still present cervical cancer in high-income countries (HICs) such as the United States and the European Union [2].
Show more

5 Read more

Feature Enhancement Of Pap Smear Images Based On Noise Reduction And Segmentation

Feature Enhancement Of Pap Smear Images Based On Noise Reduction And Segmentation

Feature enhancement techniques are used to removing unwanted noise and enhancing the quality of images with brightness and contrast. In our work, we propose a two-stage automated method for determination of nucleus in Pap smear images, which contain single cell or cluster of cells 3 . In first step, the filtering techniques are used to reducing the unwanted noises in Pap smear images. In this work, the filtering techniques are: mean, median, Gaussian, Weiner filtering methods were examined. In second step, the filtering images are used to implement in the segmentation process. The segmentation process of nuclei from Pap smear images is to extract the features of nucleus and cytoplasm of images 4 .
Show more

14 Read more

A Correlative
Study Between Cervical Cytology and Biopsy
Cervix.

A Correlative Study Between Cervical Cytology and Biopsy Cervix.

In 1943 J.Ernest Ayre et al, emphasized the use of cervical os aspiration as a preferable technique for the diagnosis of uterine cancer and published ‘A simple office test for uterine cancer diagnoses. Cervical os aspiration was superior to vaginal aspiration because a greater concentration of malignant cells was found in the direct cervical smear, both in clinical and preclinical lesions. In 1943 Papanicolaou and Marchetti used Cary’s spatula or glass syringe and took endocervical and endometrial smear and studied. In 1947, Ayre et al used surface biopsy cell scrapping technique with Ayre’s spatula 7 .
Show more

94 Read more

Show all 10000 documents...

Related subjects