Comparative study of pap smear and colposcopic findings in patients with vaginal discharge attending OPD in tertiary care centre

• Author Details:   
• Rema V. Nair
• R. Anitha
• Vishnu G. Ashok

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Introduction: Cervix is the lower narrow portion of uterus with an external os and internal os. Squamocolumnar junction is the junction between the squamous and glandular epithelium and its location varies based on age, hormonal influence. In younger age columnar epithelium lies near external os. Carcinoma cervix is the second most common cancer after the carcinoma of breast.
Aims & Objectives: To screen patients with abnormal vaginal discharge with papsmear and colposcopy, to find out the prevalence of precancerous lesion in study population and to screen patients with abnormal vaginal discharge with papsmear and colposcopy.
Subjects and Method: The study was conducted at Outpatient department of, Obstetrics & Gynaecology in Sree Mookambika Institute of Medical Sciences, Kulasekharam. Women aged 35-55 years attending Obstetrics and Gynaecology outpatient department were included. Pap smear and colposcoy was done in all participants.
Results: In this study sensitivity of pap smear was 50%, accuracy of detecting precancerous lesion of cervix was 46.4%. Sensitivity of colposcopy was 98%, the accuracy of detecting precancerous lesion was 85.9%.
Conclusion: Colposcopy can be used as screening tool for detecting pre-cancerous lesions. Colposcopy has high sensitivity and accuracy in detecting CIN than Pap smear.

Keywords: Cervix, PAP Smear, Colposcopy, Cervical Cancer, Pre Cancerous