Cytological follow up in radiation treated cervical carcinoma
Department of Obstetrics and Gynaecology, K.G.'s Medical College, Lucknow, India
J S Misra Department of Obstetrics and Gynaecology, K.G. Medical College, Lucknow India
Source of Support: None, Conflict of Interest: None
Utility ofcervicovaginal cytology was assessed in detection of recurrence of cervical carcinoma in women treated with radiation. The study comprised of 387 women attending Gynaecology O.P.D. of Queen Mary's Hospital, Lucknow, between January 1992 to December 1999 in whom difterent stages of cancer cervix were diagnosed clinically and confired histologically Cytological follow-up ranging from 6 months to 7 years revealed 32 cases of recurrent carcinoma (9.2%) and 11 cases of small cell carcinoma which appeared to be cases of persistent carcinoma. Only 28.2% of recurrent carcinomas were found to be symptomatic or had any lesion on the cervix. Recurrence of cervical cancer was higher after 6-7 years and in women beyond 40 years of age.
Cytology appears to be valuable tool in detecting recurrence of cervical carcinoma even when there is no clinical sign or symptom. It cautions the clinicians before hand of recurrence and thus facilitates better chances of survival of the patient.