Cytological profile of Pap smears in a tertiary care hospital of West Bengal, India

Nandini Bhaduri Bhattacharyya, Dinobandhu Naga, Aditya Prasad Sarkar, Sabitri Mandy, Purna Chandra Das


Background: Among Indian women cancers of cervix and breast account for a very large proportion of malignancies. Majority of the cancer patients present themselves to the doctor at an advanced and incurable stage. Screening for cervical cancer can be done by Pap test which is a very simple and inexpensive test. Early detection and treatment of pre-cancerous conditions and cancers provide the best possible protection against cancer for the individual and the community.

Methods: A descriptive study with cross-sectional design was conducted in the laboratory of the Department of Pathology at Bankura Sammilani Medical College, Bankura in West Bengal during January 2014 to December 2014. Analysis of cervical cytology was done for neoplastic cells.

Results: Out of 288 smears 8.3% samples were unsatisfactory, 77.9% were without epithelial cell abnormality while 13.8% were abnormal comprising of atypical squamous cells of undetermined significance (ASCUS) 1.4%, low grade squamous intra-epithelial lesion (LSIL) 8.3%, had high grade squamous intra-epithelial lesion (HSIL) 3.5% and squamous cell carcinoma, and post-radiation effect 0.3% each. Abnormality of smear was significantly associated with age group and religion of the cases (p<0.05).

Conclusions: Majority of the cases cervical cytology were reported to be without any epithelial cell abnormality followed by LSIL. Age and religion were significantly associated with the abnormality of smears.


Cytology, Pap smear, Tertiary care hospital

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