Patterns of Cervical Cytology Screening Outcomes among Premenopausal Women Attending University of Benin Teaching Hospital Benin-City, Nigeria
Keywords:
screening, women, premenopausal, cytology, CervixAbstract
Background: This study is aimed at determining the patterns of cervical cytology screening outcomes among women of childbearing age attending tertiary health institution in Nigeria.
Methods: This study reviewed the cytology register of over 1742 female patients aged 18 to 45 years attending various clinics in University of Benin Teaching Hospital from 1st January 2013 to 31st December 2016. During screening a sterile speculum was placed in the vagina and a rovers® cervex brush introduced through the vagina to the cervix. The central bristles of the rovers® cervex brush was inserted into the endo-cervical canal. Maintaining gentle pressure, it was rotated ve times in a clockwise direction. The rovers® cervex brush head was detached and placed in the preservative vial containing xative. This along with the request form was sent to the cytology laboratory.
Result: A total of 1742 patients were screened for cervical lesions, the outcomes include 1342(77%) negative for intraepithelial lesion or malignancy (NILM), 231(13%) acute cervicitis, 55(3%) chronic cervicitis, 14(1%) atypical squamous cells of undetermined significance, 32(2%) low grade squamous intraepithelial lesion (LSIL) and 7(0.4%) high grade squamous intraepithelial lesion (HSIL).
Conclusions: Majority of the outcome of cervical cancer screening cases are actually negative for intraepithelial lesions or malignancy with significant number of cervicitis and premalignant lesions.
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