Journal of Cytology
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Year : 1997  |  Volume : 14  |  Issue : 2  |  Page : 3-12

Cytological monitoring in women for early detection of carcinoma of uterine cervix

1 Cytologist, K.G. Medical College, Lucknow, India
2 Professor, K.G. Medical College, Lucknow, India
3 Professor and Head Department of Obstetrics and Gynaecology, K.G. Medical College, Lucknow, India

Correspondence Address:
J S Misra
Cytologist, Dept, of Obstetrics and Gynaecology, K.G. Medical College, Lucknow
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Source of Support: None, Conflict of Interest: None

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Cytological monitoring of cervical smears was undertaken in 15, 649 women attending Gynaecology Clinic of Queen Mary's Hospital, Lucknow, India (April 1971 - Nov. 1996). Cervical dysplasia was found in 6.7% and malignancy in 0.8% of the cases. The incidence of dysplasia and carcinoma of cervix was higher in women who revealed abnormalities of cervix on clinical examination than in subjects with healthy cervices (10.3% and 2.1% as against 4.2% and 0.02% respectively). The former group thus needs to be identified as high risk for harbouring early cervical cancer and be offered priority in a cytological surveillance study. Further 21.5% of the 132 cytologically diagnosed cases of carcinoma cervix were in younger women of 26-35 years. Hence yearly Pap smear testing is recommended for ail women irrespective of age and parity.

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