Journal of Cytology
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ORIGINAL ARTICLE
Year : 1999  |  Volume : 16  |  Issue : 1  |  Page : 37-42

Interpretation of findings of a cytological screening programme according to bethesda system of classification


Department of Obstetrics and Gynaecology, K.G. Medical College, Lucknow-226 003, India

Correspondence Address:
J S Misra
Department of Obstetrics and Gynaecology, K.G. Medical College, Lucknow - 226003
India
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Source of Support: None, Conflict of Interest: None


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The cytological findings in cervical smears from 18,815 women screened between April 1971 to July 1998 at Queen Mary's Hospital, Lucknow, have been re-classified according to the Bethesda system to find out its utility to the clinicians. The prevlence rate of low and high grade intraepithelial lesions (LSIL and HSIL) and squamous cells carcinoma were found maximum in women showing clinical lesions on the cervix. Further, bleeding problems such as contact bleeding and postmenopausal bleeding showed high percentage of frank carcinoma than other associated symptoms. Both HSIL and squamous cell carcinoma showed rise with increasing age and parity. This warrants for mandatory inclusion of women of high age above 35 years and multiparity (with 2 children or more) in a cytological surveillance programme.


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