Cervical Pap-Smear Study in Female Syrian Population

Abstract

Background and objective: Study of cervical smears among Syrian female population according to Bethesda System, a cellular study to put the accurate diagnosis, inflammatory or atypical, then define the percentage of each lesion comparable with all smears, and that to illustrate the role of smears in early detection of cervical cancers and precancerous lesions, in addition to diagnose and evaluate inflammatory lesions and female diseases in the cervix.

Materials and Methods: This study is Descriptive-Analytic research which is a form of Cohort studies, its information is building recurrently. We studied the files of cervical smears results in Obstetric and Female Diseases University Hospital in Damascus, and in many centers of Health Ministry in Damascus, and in Syrian Family Control Society, between January 2000 to December 2015. There were 22000 cervical smears. The results were evaluate according to Bethesda System, which is stained by Papa-Nikolaou procedure, and studied by light microscopy.

Results: We studied 22000 cervical smears for patients come to the hospital or center or clinic for female disease or for follow-up or for periodic check, the ages of patients were between 16 to 78 years. We studied the results according to Bethesda System with light microscopy. 21000 cervical smears were satisfactory, 350 cervical smears were less than optimal, 650 cervical smears were unsatisfactory. 1680 cervical smears were within normal limits , 18970 cervical smears were inflammatory, and 700 cervical smears were atypical (from dysplasia to carcinoma).

Conclusion: Focus on the important role of cervical pap-smears in decreasing the percentage of invasive cervical cancers, where this percentage become lowest and cervical cancers become third cancer of female genital tracts in developed countries because doing cervical smears periodically, and necessary of follow-up recent informations about cervical smears and its classification, in addition to the role of cervical smears in determine the etiology agents of inflammatory diseases, especially viral agents such as HPV which has an important role in cervical cancers, and recently a new vaccine is available worldwide for this virus.