Study of Prevalence of Abnormal Cervical Cytology in Al-Shatby Maternity University Hospital

作     者：Ahmed Essmat Mahmoud Meleis Hossam Elsokkary Sanna Shawky Ahmed Enas El-Soody Ahmed Essmat;Mahmoud Meleis;Hossam Elsokkary;Sanna Shawky Ahmed;Enas El-Soody

作者机构：Department of Obstetrics and Gynecology Faculty of Medicine Alexandria University Alexandria Egypt Department of Pathology Medical Research Institute Alexandria University Alexandria Egypt 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2021年第11卷第4期

页      面：434-449页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Abnormal Cervical Cytology Bethesda System Cervical Cancer Screening Pap Smear Preinvasive Cervical Cancer 

摘      要：Introduction: Cervical cancer is the most common cause of preventable cancer related deaths;cervical cancer has a long pervasive phase (cervical dysplasia);the prevalence of cervical dysplasia varies according to the socioeconomic characteristics and geographic areas of the population studied. Low-grade lesions regress spontaneously in a significant number of patients, while high grade lesions will progress to an invasive cancer if left untreated. Cervical cancer screening is an important component of the World Health Organization (WHO) strategy for combating cervical cancer. The incidence and prevalence of cervical cancer has reduced remarkably over the last three decades in developed countries where there are effective, well-coordinated screening programs, and treatment of cervical dysplasia, while in developing countries it has been increasing and has constituted major health problems among women where there are no well-coordinated and effective screening programs, also resources are very low and no insurance can cover this programs. Aim of the work: The aim is to assess the prevalence of abnormal cervical cytology in Al Shatby Maternity University Hospital patients using Pap smear. Materials and methods: Inclusion criteria: 1) Married woman from 3 years or more;2) Women age from 21 to age 65 years. Exclusion criteria: 1) Previously known cervical cancer patient;2) Virgin females;3) Woman with active vaginal bleeding. Results: 83% of patients were -ve intraepithelial neoplasia {37.7% was normal cytology and 45.3% was inflammatory}. 17% was +ve intraepithelial neoplasia (abnormal cytology), {11.1% ASCUS, 2.9% LSIL, 1.3% HSIL, 1.1% ASC-H, 0.3% AGS