To study the frequency of dysplasia and carcinoma in cervical smears, their clinical presentation and their correlation with koilocytosis, presence of x-chromatin and their association with HSV - 2.

ABSTRACT: A total of 1,106 cases were studied during a one year period from 1/11/2056 to 30/10/2057. Majority of the lesions were Fast smears constituting 91.0%, Cervical intraepithelial neoplasia [CIN] and squamous cell carcinoma [SCC] cervix constituted 8.0 and 1.0% respectively. The percentage...

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Bibliographic Details
Main Author: Bashyal, Reeta
Format: Unknown
Language:English
Published: c2001.
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952 |0 0  |1 0  |2 NLM  |4 0  |6 THS_00076_BAS_2001_000000000000000  |7 0  |9 549  |a NHRC  |b NHRC  |c REF  |d 2012-07-15  |l 0  |o THS-00076/BAS/2001  |p THS-00076  |r 2012-07-15  |w 2012-07-15  |y TR 
999 |c 543  |d 543 
060 |a THS-00076 
100 |a Bashyal, Reeta.  |9 1676 
245 |a To study the frequency of dysplasia and carcinoma in cervical smears, their clinical presentation and their correlation with koilocytosis, presence of x-chromatin and their association with HSV - 2. 
260 |c c2001. 
300 |a 76p. : 
500 |a Thesis Report. 
520 |a ABSTRACT: A total of 1,106 cases were studied during a one year period from 1/11/2056 to 30/10/2057. Majority of the lesions were Fast smears constituting 91.0%, Cervical intraepithelial neoplasia [CIN] and squamous cell carcinoma [SCC] cervix constituted 8.0 and 1.0% respectively. The percentage of different grades of CIN being CIN I 85.0%, CIN I-II 5.0%, CIN II 4.0%, CIN II-III 2.0% and CIN III 4.0%. Thirty cases were taken as a study group. The commonest age group for CIN was 31-40 years 80.0% and for Carcinoma cervix above 50 years 63.0%. The most common risk factors were marriage before 20 years of age 80.00% and a low socioeconomic status 70.0%. The common presenting feature in CIN was pain lower abdomen 88.0% followed by whitish discharge per vagina and anorexia 60.0% each. Similarly in Carcinoma cervix pain lower abdomen 80.00% followed by weight loss 60.0% were the common presenting symptoms. Koilocytic change was seen in 41.0% of the cases of CIN I. The incidence of x-chromatin positivity gradually decreased is the lesion advanced, the p value between CIN I and CIN II (p=<0.02), CIN I and CIN III (p=0.00) and between CIN III and carcinoma cervix (p=<0.004) being significant. An association with HSV-2 was seen in 10.6% caes of CIN I, 33.3% cases of CIN III and 40.0% cases of Carvinoma cervix with a gradual rising antibody time of 1:2 in CIN I, 1:7 in CIN III and 1:7 to 1:9 in Carcinoma cervix respectively.  
546 |a Eng. 
650 |a Dysplasia.  |9 1922 
650 |a Carcinoma.  |9 1923 
650 |a Cervical Smears.  |9 1924 
650 |a Koilocytosis.  |9 1925 
856 |u http://nhrc.gov.np/contact/  |y Visit NHRC Library  
942 |2 NLM  |c TR