COMPARISION AND CORRELATION OF PAP SMEAR WITH COLPOSCOPY AND HISTOPATHIOLOGY IN EVALUATION OF CERVIX.

CORRESPONDING AUTHOR:
Dr. Zainab S. Nayani,
202, Mandi Palace,
Nishanpada X Lane, Dongri,
Mumbai-400009, Maharashtra.
E-mail: zainabsnayanil@gmail.com

ABSTRACT: AIMS AND OBJECTIVES: Correlate pap smear findings with colposcopic findings, To localize the lesion by colposcopy and obtain biopsy and to provide appropriate treatment wherever possible. MATERIAL AND METHODS: This was a prospective comparative study of 104 patients who attended the Gynecology OPD of KIMS from may2012 to may2014. INCLUSION CRITERIA: 1. Women of age between 20-65 years. 2. Women with symptoms like vaginal discharge, post coital bleeding, postmenopausal bleeding, intermenstrual bleeding and persistent leucorrhoea. 3. Women with normal looking cervix but symptomatic. EXCLUSION CRITERIA: 1.Women with bleeding at the time of examination. 2. Women with frank lesions. 3. Women with clinical evidence of acute pelvic infection. 4. Women who was previously treated for carcinoma cervix. 5. Pregnant women. RESULTS: Sensitivity of pap smear was found to be very low which was 31.25% compared to its specificity which was 94.44%. Which means pap smear shows higher no. of false negative smears Colposcopy showed a high sensitivity 96.57% and a good specificity 88.55% compared to pap smear. CONCLUSIOS: It is evident that colposcopy is definitely more sensitive and accurate than pap smear. By combining pap smear with colposcopy, we can maximize the sensitivity and specificity of cancer cervix screening.

KEYWORDS: Colposcopy, Pap smear, Cervical intraepithelial lesions, Suspicious looking cervix.