Study on cytopathological features of uterine cervix with analysis of ASC/SIL Ratio as a quality control measure in a tertiary care center.

Autor: Mathew, Jeeva T., G. C., Manasa
Předmět:
Zdroj: Indian Journal of Basic & Applied Medical Research; Mar2023, Vol. 12 Issue 2, p269-275, 7p
Abstrakt: Introduction: Cervical cancer is a preventable disease due to long preinvasive stage.1 Even though cervical cytology is the most used strategy to detect cervical cancer and its precursor lesion, its effectiveness is still questioned because many women are still developing cancer. Methodology: This prospective study was carried out on patients referred to pathology department of JJM Medical College, Davanagere for cytology interpretation of uterine cervix during the two year period from August 2020 to August-2022. Results: In the present study, on routine screening epithelial cell abnormalities were found in 2.4 % smears. Prevalence of ASCUS was 0.9% (7 cases), ASC-H was 0.5% (4cases), LSIL was 0.25% (2cases), HSIL was 0.5% (4 cases), AGC - NOS was 0.25% (2 cases). So SIL was seen in 0.75% (6 cases). According to Bal MS et al.6 epithelial cell abnormalities were found in 5% smears. Prevalence of ASCUS was 0.3% (1 case), SIL was seen in 3.4% (10 cases), out of which LSIL was 2.7% (8 cases) and HSIL accounted for 0.7%. Invasive cancer was seen in 1.3% cases. Conclusion: An effective marker for assessing cytopathologists' sensitivity is the ASC/SIL ratio. If an individual cytopathologist's ASC/SIL ratio is higher than the upper standard, confidential comments can assist them lower it. It serves as a motivating factor for cytopathologists whose ratio complies with the defined benchmark and aids in the maintenance of a steady ratio. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index