http://dx.doi.org/10.18203/2320-1770.ijrcog20150098 Volume 4 · Issue 3 Page 814
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Kaur A et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):814-819
www.ijrcog.org
pISSN 2320-1770 | eISSN 2320-1789
Research Article
Prevalence of cervical intraepithelial neoplasia & cervical carcinoma in
ever married women in rural area of a district in Haryana
Amandeep Kaur
1
*, Anita Punia
2
, Mehar Singh Punia
2
,
Sunita Singh
3
, Smiti Nanda
4
, Babita Jangra
2
INTRODUCTION
Cervical cancer is the third most common cancer in
women, after breast and colorectal cancer, globally. More
than 85% of the global burden occurs in developing
countries.
1
It contributes over 2.7 million years of life
lost among women between the ages of 25 and 64
worldwide.
2
Cervical cancer kills more than 288000
women each year worldwide and disproportionately
affects the poorest, the most vulnerable women.
3
In India, it was estimated that 134 420 new cases and
72825 deaths occurred in the year 2008 due to carcinoma
cervix, accounting for nearly 25% of the global burden.
The ASR (age-standardized incidence rate) of cervical
cancer during 2008 was 27.0 per 100000 women in
different regions of India.
1
The prevalence of cervical cancer in various regions of
our country is mainly estimated ones from the various
hospital registries. Community based studies are lacking
in North India. Assessment of magnitude of any problem
1
Department of Community Medicine, Government Medical College, Haldwani, Nainital-263139, Uttarakhand, India
2
Department of Community Medicine, BPS Government Medical College for Women, Khanpur Kalan, Sonepat-
131305, Haryana, India
3
Department of Pathology, Pt. B.D. Sharma PGIMS, Rohtak-124001, Haryana, India
4
Department of Department of Gynecology and Obstetrics, Pt. B.D. Sharma PGIMS, Rohtak-124001, Haryana, India
Received: 19 April 2015
Accepted: 08 May 2015
*Correspondence:
Dr. Amandeep Kaur,
E-mail: amansmailbox82@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Objectives: To find the burden of cervical intraepithelial neoplasia and cervical carcinoma in ever
married rural women and to create awareness for its prevention and management.
Methods: The present cross-sectional study was undertaken in Block Beri, district Jhajjar, Haryana, among ever
married females aged 30-59 years. A total of 1615 women were enumerated from three randomly selected sub-
centers. Out of these 1359 were interviewed by house to house survey. Among them 664 (49%) consented for per-
vaginal examination for Visual Inspection with Acetic acid (VIA), Visual Inspection with Lugol’s Iodine (VILI) and
Papanicolaou (Pap) smear at the respective sub-centers. Data was analyzed using SPSS version 17.
Results: Per-vaginal discharge (45.9%) was the most common complaint followed by lower backache (36.6%) and
lower abdominal pain (35.0%). VIA was positive in 18.5%; while VILI in 23.2% of study subjects. On cytological
examination, in 313 subjects, no significant pathology was detected. Six subjects (0.904%) showed epithelial cell
abnormality classified as ASCUS among four cases and one each as LSIL and HSIL.
Conclusions: Low prevalence (0.9%) of epithelial cell abnormalities observed in study confirmed the national
estimates for Haryana as low prevalence area for cervical cancers.
Keywords: CIN, Cervical carcinoma, Prevalence, Ever married women, Rural
DOI: 10.18203/2320-1770.ijrcog20150098