Cervical Squamous Intraepitherial Lesions At King Faisal Hospital: ASystematic Review: April 2009 - April 2011
2013
Background: The cervical cancer is the most common cause of mortality
with cancer among women in developing countries. Cervical screening
tests are used to detect precancerous lesions in various stages of
development when they can be treated. Screening for cervical cancer
involves women who are at risk for cervical cancer but have no current
signs, symptoms or complaints referable to the cervix; or have no
previous abnormal Pap smear and have no high risk factors for cervical
cancer. This retrospection study was to review cervical smears
evaluated in 24 months and squamous intraepithelial lesions detected
among the 1,673 cases studied. Methods: Ethanol and spray fixed
cervical smears were received by the laboratory from the outpatients
department at King Faisal Hospital and from collaborating institutions.
The smears were stained by Papanicolaou method and evaluated on the
light microscope. 1,673 smears were selected for this study. Results:
There were 19 (19/1673) squamous intraepithelial lesions of various
grades. 7 (7/19) were low grade squamous intraepithelial (LS1Ls), 11
(11/19) were high grade squamous intraepithelial lesions (HSILs) and 1
(1/19) was adenocarcinoma. 5 (5/19) lesions were associated with human
papillomavirus (HPV) infection. Conclusion: This review shows a low
incidence of cervical squamous intraepithelial lesions due to the high
cost of the test in a high cost health care institution, hence the
small number of risky women accessing the test. A bigger study to
include a spectrum of all risky women is required.
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