Abstract 12.1.5
 

 

 

OPPORTUNISTIC CERVICAL CYTOLOGY AT THE UNIVERSITY OF BENIN TEACHING HOSPITAL, BENIN CITY, NIGERIA

 

 

 C.A.OKONKWO

 O. ADELEYE

1Department of Obstetrics & Gynaecology, University of Benin

2Department of Community Health, University of Benin

 

 

Abstract: Over 80% of cervical cancer cases are diagnosed in developing countries as a result of poorly organized or nonexistent screening programmes. In the absence of a screening programme many centres adopt an opportunistic approach to screening as an alternative. This study set out to evaluate opportunistic screening as it relates to cervical cancer. This was a cohort study where Pap smears were collected from patients attending various clinics at the University of Benin Teaching Hospital. A total of 247 patients had cervical smears done. One hundred and seventy eight (72.1%) patients had normal and benign smears. Sixty-nine (27.9%) patients had pre-invasive lesions, typical squamous cells of undetermined significance (ASCUS) were detected in 2(0.8%) patients, low grade squamous intraepithelial lesions (LSIL) were 49 (19.8%). The patients with high grade squamous intraepithelial lesions were 14(5.6%). One patient each had adenocarcinoma and squamous cell carcinoma. The rate of cytological abnormality was higher than the expected probably as a result of the fact that the study was hospital based. The study showed that the opportunistic screening would be helpful in reducing the incidence of cervical cancer. Patients over 50years and those who have had between 5 and 8 pregnancies are at higher risk of cervical cancer.

   

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