Histopathological Correlation with Cervical Cytology Dr. Alakananda

The present study was undertaken with the aim to evaluate the histopathological correlation with cervical cytology among patients attending GOPD of Gauhati Medical College, Guwahati. It was a prospective, cross sectional study over a period of 1 year from July 2015 – June 2016. Total number of 280 patients with complaints of vaginal discharge, irregular bleeding, post coital bleeding, pain abdomen were randomly selected. Out of 280 cases 153 that is 55 % had NILM in PAP smear, 25% (70/280) had ECA ,15% (43/280) of the cases had inflammatory smear and 5% (14/280) were unsatisfactory for interpretation. Most commonly seen PAP abnormality was ASCUS that is 12% . 3% of the patients screened had LSIL, 7% had HSIL.AGC was seen in 1 case and adenocarcinoma was seen in 3 cases(1%). 2% of the total cases that is 6 cases had presented with squamous cell carcinoma. All the cases which were positive for PAP were taken up for biopsy and histopathological examination. The correlation between cytology and histology was calculated.Degree of freedom:30. χ 2 -value:167.43 (highly significant).Significance: p<0.01