Histological Diagnosis of Women Receiving ASC Pap Smear at King Narai Hospital (Lopburi)

Abstract

This is a retrospective analytic descriptive study of 142 cases of women with ASC Pap smear reports between October 1^st 2006 and November 30^th 2009 at King Narai hospital. There were 127 women with ASCUS and 15 with ASC-H who had undergone colposcopic biopsy or cervical conization. Histological diagnosis showed that significant risk of HSIL or invasive lesion in the ASC-H group was higher than that in the ASCUS group [60% vs. 20.47% ; p = 0.00]. As a result, immediate colposcopic examination is an appropriate approach for managing all women receiving ASC-H Pap smear, including those with high risk history of ASCUS. It also provides early detection of HSIL and invasive lesion so that doctors can treat them responsively.