Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Noreen Zafar
Posters: Gynecol Obstet (Sunnyvale)
Cervical cancer is the second most common cancer among women worldwide, with 80% cases in developing countries. In Pakistan it is not considered to be a huge problem. This study was carried out to ascertain the incidence of abnormal Pap smears among Pakistani women, to objectively justify the need for a cervical cancer screening program in Pakistan. 525 patient case notes attending gynaecology out patients over 18 month�s period were reviewed. Spatula and cytobrush samples were taken for all post menopausal women and in those where squamo-columnar junction was not visible. All patients with HSIL & ASC-H underwent colposcopy & biopsy. Endometrial sampling was performed if indicated. Results: Negative for intraepithelial lesions, 56 % Inflammatory in 25.33 % Atrophic in 4 % Inadequate 1.33% Cytological abnormalities were present in -13.34 % The incidence of cytological abnormalities among Pakistani women is significant. The progression of HSIL to invasive disease is well documented. This study highlights the urgent need for a national cervical pre-cancer screening program in Pakistan. Conclusion: The incidence of cytological abnormalities among Pakistani women is significant. The women included in the study were asymptomatic and had no past history. This study highlights the desperate need for a cervical pre-cancer screening program in Pakistan.