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Cervical cytology screening in sub-saharan africa

Author: 
Ozer Birge, Feyza Demir, Ilkan Kayar, Mehmet Adiyeke, Utku Akgor, Seda Yegin, Suzan Tunc and Mustafa Melih Erkan
Subject Area: 
Health Sciences
Abstract: 

Purpose: The purpose of our study is to determine the ratio of abnormal cervical cytology among the results of the first cervical screening of women in the Darfur area of Central Africa. Material and Method: The cytology results of women who had Pap smear tests done in a Saharan hospital between 2014-2015 were screened retrospectively. Women with abnormal cervical cytology results in the conventional evaluation were examined further. Women with cervical cytology results of ASC-US, ASC-H, LGSIL, HGSIL, and AGC were included in the study. Findings: Abnormal smear results were detected in 178 (2.83%) of the 6279 women whose cervical cytology was examined. ASC-US was detected in 100 (56.1%), ASC-H in 5 (2.8%), LGSIL in 31 (17.5%), HGSIL in 14 (7.9%), AGC in 27 (15.3%) and cervical cancer in 1 (0.56%) of the cases. Sixty-three of the cases underwent colposcopy-guided biopsy. The biopsy results were reported as chronic cervicitis in 29 (46.3%), CIN1 in 13 (18.7%), CIN2 in 6 (9%) and CIN3 in 13 (20.3%) of the cases. The correlation between the cervical cytology and colposcopy-guided biopsy results was statistically significant (Kappa: 0.541 and p<0.001). Result: Cervical cancer can be diagnosed early by cervical cytology evaluations and can even be prevented. Although the cervical cytology test is a readily available, easy and effective method, histopathological correlation gains importance in the evaluation of abnormal cervical cytology. Performing colposcopy-guided biopsy for histopathological evaluation is considered an appropriate approach for the management of abnormal cervical cytology.

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