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Indian Journal of Obstetrics and Gynecology Research

To study the role of conventional pap smear in post- menopausal women

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Author Details: Reena Sood, Madhurima Arora, Swati Sharma

Volume : 4

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 265

Article End Page : 269


Cervical cancer is one of the world’s deadliest but most easily preventable forms of cancer for women. According to Globocan data, cervical cancer is the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases in 2012. There were an estimated 266,000 deaths from cervical cancer worldwide in 2012, accounting for 7.5% of all female cancer deaths. Elderly women are more likely to be diagnosed at a late stage due to lack of a regular access to gynaecological care or cancer screening. Pap smear is one of the best screening tools available for preventing cervical cancer with a sensitivity of 72% and specificity of 94%. The present case study is a one year retrospective analysis carried out in SGRDIMSAR which included all the post-menopausal Pap smear cases taken at the department of obstetrics and gynaecology during this period.
Each case was analysed in detail with special emphasis on the age of menopause, duration of menopause, presenting complains, indication for Pap smear, abnormal findings of Pap smear and premalignant changes in Pap smear. Data was compiled and statistically analysed.
Total number of patients reporting negative for intra epithelial cells were 47(41.6%), inflammatory smears with atypia were reported in 35(31%) patients, moniliasis was diagnosed in 6(5.3%), bacterial vaginosis in 5(4.4%). Epithelial cell abnormalities were noted in 4% cases. ASCUS was diagnosed in 1(0.8%) patient; HSIL in 1(0.8%) patient and LSIL in 2(1.7%) patients. Atrophic smear was found in 16(14.2%) cases. No correlation was found between the presence of atrophic smears on Pap smear and advancing age of the women by Chi square test.