Abnormal Pap Smear of the Uterine Cervix at BMA General Hospital

Abstract

Abnormal Pap Smear of the Uterine Cervix at BMA General Hospital

Karmonphun      Chomsevi             MD

Nithas                   Jatuparisuth       MD

Department of Obstetrics and Gynecology, BMA General Hospital

Objective: To determine the prevalence of abnormal uterine cervical Pap Smear of women attending out-patient gynecologic unit, BMA General Hospital.

Study design: Descriptive study.

Setting: Out-patient gynecologic unit, Department of Obstetrics and Gynecology, BMA General Hospital.

Subjects: A total of 7,540 women who were checked for uterine cervical Pap smear during July 1, 2000 - December 31, 2001.

Methods: Women who had Pap smear of uterine cervix were interviewed for personal data and reported the result of Pap smear by The Bethesda System (TBS). Those with abnormal Pap smear were contacted for investigations, follow-up and treatment. The result of Pap smear and histologic findings of uterine cervical biopsy under colposcopy were recorded.

Main outcome measure: Prevalence of abnormal Pap smear of uterine cervix.

Results: The prevalence of abnormal Pap smear of uterine cervix was 2.98% (95% CI 2.60-3.36). There were ASCUS 84 cases (1.11%), AGUS 2 cases (0.03%), LSIL 83 cases (1.10%), HSIL 47 cases (0.62%), and carcinoma 9 cases (0.12%). Concerning those who had abnormal Pap smear, the mean age was 39.92 + 12.13 years and the mean parity was 2 + 1.0. There was a strong relation between cytologic and histologic diagnoses.

Conclusion: The prevalence of abnormal Pap smear at BMA General Hospital was 2.98%. There was a strong relation between cytologic and histologic diagnoses.

Key words: abnormal Pap smear, prevalence, uterine cervix

Vajira Med J 2002 ; 46 : 97 - 104