Dumlupınar Üniversitesi Kütahya Evliya Çelebi Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Polikliniği’ne başvuran hastaların servikal smear sonuçlarının değerlendirilmesi

Aim: All gynecologic cancers are accepted as important causes of morbidity and mortality in the world. For these cancers, importance of early diagnosis / screening methods are better understood day by day. Accordingly, in our study we aimed to evaluate the smear results of the patients who admitted to our outpatient clinic in the past year. Material and Methods: We retrospectively analyzed pap smear results of patients who admitted to Dumlupinar University Kutahya Evliya Celebi Education and Research Hospital Obstetrics and Gynecology Outpatient Clinic between November 2013 and October 2014. In that period conventional method for pap smear was beeing used in the department of pathology of our hospital. We collected smear samples from patients who were older than 21 years old or sexually active women for at least 3 years. We analyzed the results of patients who accepted the conventional cervical pap-smear after the examinations in outpatient clinics. The results were evaluated according to the Bethesda 2001 system. Results: The results of 7466 cervical smears which were collected in last one year were evaluated. All results were divided into 2 sub-groups as transformation zone (Tz) seen or not. According to that, 1395 (18.7%) were normal smear (406, 5.43% Tz), candida infection 56 (0.75%) (31, 0.41% Tz was seen), Trichomonas infection was detected on 6 (0.08%) (2, 0.02% Tz), 141 (1.9%) showed bacterial vaginosis (39, 0.52% Tz), 5761 (77.16%) were others (atrophy, inflammation, postmenopausal changes). (3298, 44.17% Tz), 58 (0.77%) were ASC-US (36, 0.48% Tz), 2 (0.02%) LSIL, 0 HSIL, 0 AGUS, 0 ASC-H, 47 (0.62%) were insufficient material. Conclusion: As a result of our study we found a lower rate of cervical premalignant lesions in our city when compared to the literature. We thought that this situtaion is a result of good cervical smear screening practice of doctors working in our center and well informed patients are about cervical screening. Key words: Conventional technique, cervical smear, cervix cancer screening