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UTILITY OF PAP SMEAR STUDY IN THE DIAGNOSIS OF VARIOUS NEOPLASTIC AND NON NEOPLASTIC LESIONS OF CERVIX.

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Abstract (2. Language): 
BACKGROUND: Cervical cancer is one of the leading causes of death in Indian women. Pap smears are commonly used as cytological screening test for successful eradication of precancerous lesions, which has made it a routine procedure worldwide. Pap smears have been evaluated as a diagnostic test even in few non neoplastic conditions of cervix. OBJECTIVES: The study was conducted to explore various lesions of uterine cervix to find out target age group in which screening efforts can be concentrated for early detection as well as reduction of the incidence of cervical cancer and also to diagnose benign and inflammatory lesions to reduce the morbidity. STUDY DESIGN: Patients in the age group 18-65 years with various complaints were screened during August 2011 to August 2012. Total 221 patients were studied. Slides were fixed in 95% ethyl alcohol and stained with Pap and Hematoxylin & Eosin stains. Slides were reported according to The 2001 Bethesda System, by two pathologists. RESULTS: Out of 221 patients studied, 179 showed inflammatory smear, three cases of atrophic smear, 21 cases with epithelial abnormalities and 18 cases were inadequate. Benign and inflammatory lesions were common in 21-30years and epithelial abnormalities were common in 41-50 years of age group.
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