Rising Trends in incidence of precursor lesions and carcinoma of cervixin jharkhand area in a study Organised by Rims, Ranchi, Jharkhand

Background and Objectives: This study was designed to emphasise upon alarming rising trends in incidence of carcinoma cervix, vagina, vault, vulva and their precursor lesions eventually presenting with carcinoma cervix in follow-up. The main aim of this study was to identify precursor lesions as soon as possible by screening through PAP SMEAR as soon as possible and to make the patients and attending clinicians aware so that themorbidity can be reduced. Context: It’s unfortunate that incidence of female genital tract malignancies especially cervix has been rising due to lack of awareness, early age of sexual intercourse. Materials and Methods: Cusco’s speculum, swab stick, Ayre’s spatula, 95% Alcohol, PAP STAINING, Histopathological Techniques. This study was conducted over a period of 7 years commencing from August 2009 to July 2016. Approximately 11,200 patients were taken for the study and all these patients were subjected to Pap smear screening. The patients with diagnosis of L-SIL, H-SIL or carcinoma were further advised follow-up and Biopsy. Settings and Design: It is a prospective study carried out in department of gynaecology cytology, department of pathology, RIMS Results: Out of 11,200 cases, 874 cases were diagnosed as malignant, 3662 as premalignant, 6171 as inflammatory, 493 as ASCUS/ AGUS.4464 cases who came as follow-up for biopsy were diagnosed as squamous cell carcinoma (711 cases), Adenocarcinoma (355 cases), Small cell carcinoma (178 cases) and clear cell carcinoma (6 cases), LSIL (2232 cases) & HSIL(982 cases). Conclusion: This study was conducted to create awareness about rising trends in incidence of carcinoma cervix. Patients and general public should be aware so that predisposing factors to carcinoma cervix can be prevented and the incidence of disease can be controlled.