Role of colposcoy and paps smear in cervical carcinoma screening
Dr. Gajendra Singh Verma, Dr. Pragati Meena and Aakansha Agrawal
Background: Cervical carcinoma is a formidable threat to the health of women and it is prevented with adequate screening. Routine screening of cervical cytology with the Papanicolaou/Pap smear has been deeply ingrained in clinical practice since past century. Cervical cytology screening has contributed to a 50% reduction in the incidence of cervical cancer.
Objective of study: To study screening of cervical carcinoma by paps smear and colposcopy. The study constituted 100 women as subjects who attended the Gynaecology OPD as well as ones admitted in gynaecology wards at NIMS hospital Jaipur and fulfilling the inclusion and exclusion criteria.
Results: The mean age of patients in this study was 39.05±8.587years and mostly belonging to upper lower socioeconomic status. It was found that early sexual activity had greater risk for development of dysplasia. In this study Mean age at first coitus was 17.13±1.5351. Pap smear had sensitivity of 26.67%, specificity of 100%, and accuracy of 78%. Colposcopy had sensitivity of 100%, specificity of 74.28%, and accuracy of 82%.Women with abnormal white discharge and symptoms to be screened with Pap smear and colposcopy.
Conclusion: Colposcopic directed biopsies of abnormal area help in early detection of CIN. Colposcopy has 100% sensitivity, 74.28% specificity, 82% accuracy in diagnosing dysplasias, CIN and invasive cancers. Pap smear had low sensitivity 26.67%, high specificity 100% and accuracy of 78%for diagnosing dysplasias, CIN, and invasive cancers.