Open Journal of Obstetrics and Gynecology, 2021, 11, 434-449
https://www.scirp.org/journal/ojog
ISSN Online: 2160-8806
ISSN Print: 2160-8792
DOI: 10.4236/ojog.2021.114042 Apr. 26, 2021 434 Open Journal of Obstetrics and Gynecology
Study of Prevalence of Abnormal Cervical
Cytology in Al-Shatby Maternity University
Hospital
Ahmed Essmat
1
, Mahmoud Meleis
1
, Hossam Elsokkary
1
, Sanna Shawky Ahmed
2
, Enas El-Soody
1
1
Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
2
Department of Pathology, Medical Research Institute, Alexandria University, Alexandria, Egypt
Abstract
Introduction: Cervical cancer is the most common cause of preventable cancer
related deaths; cervical cancer has a long pervasive phase (cervical dysplasia);
the prevalence of cervical dysplasia varies according to the socioeconomic
characteristics and geographic areas of the population studied. Low-grade le-
sions regress spontaneously in a significant number of patients, while high
grade lesions will progress to an invasive cancer if left untreated. Cervical
cancer screening is an important component of the World Health Organiza-
tion (WHO) strategy for combating cervical cancer. The incidence and pre-
valence of cervical cancer has reduced remarkably over the last three decades
in developed countries where there are effective, well-coordinated screening
programs, and treatment of cervical dysplasia, while in developing countries
it has been increasing and has constituted major health problems among
women where there are no well-coordinated and effective screening programs,
also resources are very low and no insurance can cover this programs. Aim of
the work: The aim is to assess the prevalence of abnormal cervical cytology in
Al Shatby Maternity University Hospital patients using Pap smear. Materials
and methods: Inclusion criteria: 1) Married woman from 3 years or more; 2)
Women age from 21 to age 65 years. Exclusion criteria: 1) Previously known
cervical cancer patient; 2) Virgin females; 3) Woman with active vaginal
bleeding. Results: 83% of patients were -ve intraepithelial neoplasia {37.7%
was normal cytology and 45.3% was inflammatory}. 17% was +ve intraepi-
thelial neoplasia (abnormal cytology), {11.1% ASCUS, 2.9% LSIL, 1.3% HSIL,
1.1% ASC-H, 0.3% AGS-NO, 0.3% AGS-Favour Neoplastic}. Prevalence of
abnormal cervical cytology in age group less than30 years was 8.4% which is
lower than prevalence in the middle age group which was 19.9%. Prevalence
of abnormal cervical cytology in women with normal vaginal delivery was
higher than those with caesarean delivery. 39.8% of our patients were passive
How to cite this paper: Essmat, A., Meleis,
M., Elsokkary, H., Ahmed, S.S. and El-Soody,
E. (2021) Study of Prevalence of Abnormal
Cervical Cytology in Al-Shatby Maternity
University Hospital. Open Journal of Ob-
stetrics and Gynecology, 11, 434-449.
https://doi.org/10.4236/ojog.2021.114042
Received: March 24, 2021
Accepted: April 23, 2021
Published: April 26, 2021
Copyright © 2021 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access