Evaluation of Abnormal Cervical Cytology

Abstract

The indicated clinicat evaluation of ar)?ical squamous cells demonstrated on papanicolaou(Pap) smear has been determined. Although several repons and opinions suggest that these cells arc ofno particular significances, other studies have noted these cetls in instances of advanceal cervicaldysplasia.The Objective of the present srudy was to determine rhe prevalence of dysptasia in106 patients withrecent Pap smear demonstrating atypical squamoxs cell . the study was conducted during the period1998-2002 in the cyne€ologic Clinic at Hilla Hospitals and Deparrnent of parhotogy, BabylonUniversity, Babylon, IRAQ.Abnomal colposopy was present in 59 (55%).ln 21 (36%) ofrhe 59 parienrs, dysplasia was confirmedhistologically. Statistical significance was presenr in each ofthe groups lvith tissue sampling (arypicaland immaturc squamous metaplasia, koilocltoric aq,pia, and dysplasia) when ages were comparedwith the palients having nomal colposcopy. . Pap smear is a significant indicalor of ceryical pathology.Altholgh this Pap smear may not be rsgarded as dysplasia" neither shouid be ignored. Cotposcopy Jndbiopsy of any abnonmlity is recommended in all these patients. Two distinct pattems of initialcletection of cenical dysplasia were apparent.It is concluded that the atpical squamous cell Pap smear is a significant jnd;cator oi.cervicalpathology. Although this atpical Pap smear may not be regarded as dysplasia, neither shoutd beignored. Colposcopy and biopsy of any abnomaliry is recommended in atl tbese patients