PREVALENCE OF ABNORMAL PAP SMEAR AND COLPOSCOPY RESULTS IN WOMEN AT CLINIC OF ALZAHRAWI HOSPITAL IN 2015-2016

Hisham Al-Hammami1, Lina Aldounia2, Mhd Nezar Alsharif3*, Yaser Fawaz4

Department of medicine, Syrian private university. Damascus, Syrian Arab Republic

ABSTRACT

Currently, there is no screening program for the early detection and management of cervical cancer in Syria. This study aimed to determine the Prevalence of abnormal Pap smear and colposcopy results in a sample of women at clinic of ALZHRWI HOSPITAL in 2015-2016. This prospective descriptive longitudinal observational population study in women between 14-70 years old reviewing. Samples from the cervix were obtained by a standard method using the spatula. Data were analyzed using the Roc Curve and Kendall’s tua-b factor and box plots using SPSS. Abnormal Pap smear results included 710 cases (69.4% of all sample) with dysplastic changes in 128 cases (12.5% of all sample) with the majority of them being LGSIL (low grade squamous intraepithelial lesion) with 55.5%(71 cases of the 128 cases). The highest percentage of a cervical abnormality in our study was LGSIL (6.9% of all sample). The Pap smear results were significantly related to marriage age, habits (smoker or not), living address, number of parities, age of first pregnancy, symptoms, cervical appearance, and colposcopy results. 48 women of the 250 who have had a colposcopy had abnormal changes (19.2% of all patients’ who have had a colposcopy). Cervical biopsies were taken from 29 patients (11.6% of patients who have had a colposcopy and 2.8% of all sample). 37.9% (of all biopsy results’ had dysplastic (precancerous) changes and 7 of them (63.6%) had dysplastic (precancerous) changes smear.

Keywords:

Syrian women, Smear, cervical, colposcopy, precancerous