Journal of Cytology
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Year : 2004  |  Volume : 21  |  Issue : 1  |  Page : 20-22

Significance of inflammatory smears in cervical cytology

Department of Obstetrics and Gynaecology, KG Medical College, Lucknow, India

Correspondence Address:
J S Misra
Dept of Obs and Gynaec, KG'S Medical College, Lucknow
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Source of Support: None, Conflict of Interest: None

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The study was undertaken with the aim to evaluate association between inflammatory changes in the cervix with different predisposing factors related to cervical carcinogenesis. Routine outpatient cervical cytology has been carried out in 19,449 women between September 1991 to August 2002 at Queen Mary's Hospital Lucknow and 8354 of them have revealed inflammatory smears (42.9%). Inflammation was found to be associated with trichomonal infection and mild dysplasia (LSIL) in 4.8% and 5.1 % of cases respectively. Both these associations were pronounced in younger women upto 30 years of age. Further the inflammatory smears were frequently seen in women with clinical lesions of cervix (35.1%) and those complaining of vaginal discharge (13.7%). The study points out the need for adequate treatment of inflammation detected on cytology and post-intervention cytology checkup to rule out any persistence, which must be investigated by colposcopy to detect any precancerous manifestations in the cervix.

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