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Prevalence of Pap smear abnormalities among women who attend Sexually Transmitted Diseases (STD) clinic, Colombo

Authors:

D.A. Karawita ,

National STD/AIDS Control Programme, Ministry of Health, LK
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D.N. Wijayawickrama

National STD/AIDS Control Programme, Ministry of Health, LK
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Abstract

Introduction: Cervical cancer ranks as the second most frequent cancer among women in Sri Lanka. It has been now well established that oncogenic subtypes of human papillomavirus (HPV) is a necessary cause of cervical cancer. An abnormal Pap smear may indicate an infection, inflammation or cervical cytological abnormality.

Objectives: The objective of this study was to ascertain the prevalence of Pap smear abnormalities among women who attend Sexually Transmitted Disease (STD) clinic, Colombo Method: A total of 1300 females who underwent routine Pap smear screening at STD clinic, Colombo in the year 2010 and 2011 were analysed for the prevalence of all forms of Pap smear abnormalities including cervical cytological abnormalities. Cytology was interpreted according to the national guideline which is based on Bethesda system 2001.

Results: Prevalence of all forms of abnormal Pap smears was 24.2% while the prevalence of cervical cytological abnormalities was only 2.2% in the sample, out of which 1 .4% were low grade squamous intraepithelial lesions (LGSIL), 0.5% were high grade squamous intraepithelial lesions (HGSIL) and 0.3% were glandular cell atypia. The cervical cancer prevalence in the sample was 0.077%.

Conclusions: All forms of Pap smear abnormalities among STD clinic attendees were relatively high (24.2%) due to concurrent infections and inflammation. The rate of cervical cytological abnormalities was 2.2% while the cervical cancer rate was 0.077% in the sample. There was no significant difference between groups with and without cervical cytological changes.

Sri Lanka Journal of Venereology Vol.5(1) 2014: 20-30

How to Cite: Karawita, D.A. & Wijayawickrama, D.N., (2015). Prevalence of Pap smear abnormalities among women who attend Sexually Transmitted Diseases (STD) clinic, Colombo. Sri Lanka Journal of Venereology. 5(1), pp.20–30. DOI: http://doi.org/10.4038/sljv.v5i1.7349
Published on 26 Nov 2015.
Peer Reviewed

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