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العنوان
Study of prevelance of abnormal cervical cytology in al shatby university maternity hospital patients/
المؤلف
elsoody, Enas elsoody abd elmonem.
هيئة الاعداد
باحث / ايناس السعودي عبد المنعم السعودي
مشرف / محمود السيد حنفي مليس
مناقش / نادية احمد عبد المنعم
مناقش / عبد الفتاح محمد عجمية
الموضوع
Obestetrics. Gynecology.
تاريخ النشر
2018.
عدد الصفحات
86 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
26/9/2018
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Obstetrics and gynecology
الفهرس
Only 14 pages are availabe for public view

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Abstract

Cervical cancer is the most common cause of preventable cancer‑related deaths, cervical cancer has a long preinvasive phase (cervical dysplasia), the prevalence of cervical dysplasia varies according to the socioeconomic characteristics and geographic areas of the population studied.
Low grade lesions 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 Organization (WHO) strategy for combating cervical cancer.
The incidence and prevalence 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.
Our results summarized that:
• 83% of patients was –ve intraepithelial neoplasia{37.7% was normal cytology and 45.3% was inflammatory}.
• 17% was +ve intraepithelial 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 than 30 years was 8.4%which is lower than prevalence in 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 and active smoker 61.2% of their pap smear was abnormal cytology.
• 78.9% of abnormal cytology was among patients from low socioeconomic class (rural areas).
• Abnormal cervical cytology in patients with high parity was 69% which is higher than abnormality found in lower parity.
• 60.2% of abnormal cervical cytology was in patients who became sexually active before age of 20 years.
• Prevalence of abnormal cervical cytology was higher in patients with multiple sexual partners (56.5%) than patients with single sexual partner (13.3%)