Cervical Cytology Associated with Pelvic Inflammatory DiseasesMisra JS, Srivastava AN*, Sharique A and Srivastava KR
Department of Pathology and Obstetrics and Gynaecology, Era’s Lucknow Medical College, Lucknow, India
- *Corresponding Author:
- Srivastava AN
Director Research & Head Department
of Pathology, Era’s Lucknow Medical
College & Hospital, Lucknow
Uttar Pradesh, India
E-mail: [email protected]
Received date: May 14, 2015 Accepted date: June 25, 2015 Published date: June 27, 2015
Citation: Misra JS, Srivastava AN, Sharique A, Srivastava KR (2015) Cervical Cytology Associated with Pelvic Inflammatory Diseases. J Cytol Histol 6:343. doi:10.4172/2157-7099.1000343
Copyright: © 2015 Misra JS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: The present study was aimed to investigate the incidence of squamous intraepithelial lesions of cervix (SIL), frank cervical cancer and different STDs in 503 women with pelvic inflammatory disease (PID).
Study design: Cytological evolution of cervical smears was carried out in 503 women attending Gynae Outpatient Department of Era’s Lucknow Medical College, Lucknow India, between October 2009 and June 2014 who were diagnosed with PID and also during Rural Cervical Cancer Screening in Malihabad and Kakori Block of Lucknow District between May 2013 to April 2015.
Results: The cervical cytology in 503 women with PID showed alarmingly high rate of SIL (144- cases -28.6%) though 134 of them were of low grade. No case of carcinoma cervix was seen. The incidence of Candida albicans was 4.3% in these women and only 2 cases of Trichomonal infection were seen. The incidence of SIL was maximum in younger, sexually active women between 21-30 years after which it declined.
Conclusion: The study revealed a very high incidence of SIL associated with PID. As majority of the women screened were from rural areas, it appears that poor hygiene and persistent infection has led to the high incidence of SIL. Hence urgent need is felt in organizing cytological screening programme in rural region of the country to screen specially the symptomatic women to detect any early onset of cervical precancer, the subsequent treatment of which would check any progression of the disease to malignancy.