Utility of cytological screening in cervical cancer control under low resource settings
JS Misra, S Pandey
Department of Obstetrics and Gynaecology, KG's Medical College, Lucknow, India
J S Misra Dept of Obs & Gynaec, KG's Medical College, Lucknow India
Source of Support: None, Conflict of Interest: None
Results of 30 years routine cytological screening has been evaluated to assess its impact in minimizing the incidence of cervical carcinoma in the segment of population screened. The data was derived from the routine cervical cytological studies carried out in 29,321 women attending Gynaecology OPD of Queen Mary's Hospital, Lucknow between April 1971 to August 2002.
Incidence of carcinoma cervix was found to be 0.5% (167 cases). The halving of the total observation period revealed remarkable decline in detection rate of carcinoma cervix from 1.1% in the initial 15 years to 0.4% in the next half of the study. Cervical cytology was also found effective in detecting malignant smears in 12 women with apparently healthy cervix (7.6%). The study points out some relationship of Herpes simplex infection with carcinoma cervix and the disease was more prevalent in women of high age and parity. The accumulated data asserts the utility of cytological screening in curtailing the menace of cervical carcinoma under low resource settings.