Cervical Neoplasia-Cyto-Histological Correlation (Bethesda System) A Study of 276 Cases

Carcinoma uterine cervix is one of the leading causes of cancer death among women worldwide. To detect this widely prevalent cancer at an early stage, the simplest test has been a pap smear. Reporting of pap smears is done by using The Bethesda System 2001 prior to which many classification systems were developed [1,2,3,4]. To check the sensitivity and specificity of Bethesda system, the cytological findings have to be correlated with histology considering histopathology as gold standard. In our study, we have correlated cytological findings (pap smears) with corresponding histology after follow up of the symptomatic patients in the age range of 20 to 80 years. The main objectives were to study usefulness of cytology in detecting various preneoplastic and neoplastic lesions of cervix, to evaluate and to interpret the cases of epithelial lesions according to The Bethesda 2001 classification system [5] and correlation of cytological findings with follow-up histology sections. Analysis of different factors causing discrepancies was done.